Brooke C Shannon (NPI# 1740756261, PAC ID# 1355681750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1740756261 |
PAC ID by PECOS | 1355681750 |
Professional Enrollment ID | I20190321002085 |
Full Name | Brooke C Shannon |
Organization Legal Name | CHURCHVILLE-CHILI FAMILY MEDICINE, LLC |
Address |
4201 Buffalo Rd North Chili NY 14514-1256 |
Phone Number | 5855945995 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5294957874 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4201 Buffalo Rd, North Chili, NY 14514-1256 | 5855945995 | CHURCHVILLE-CHILI FAMILY MEDICINE, LLC |
Organization Legal Name | CHURCHVILLE-CHILI FAMILY MEDICINE, LLC |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Henry M Paszko | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Jonathan W Hager | Internal Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Chanh C Huynh | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Christopher Khamphoune | Internal Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Rachel J Forberg | Nurse Practitioner | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Timothy P Clark | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Christine A Rodgers | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Jamie L Krautwurst | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Hui R Cai | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Robert P Lawler | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Street Address |
4201 BUFFALO RD |
City | NORTH CHILI |
State | NY |
Zip | 14514-1256 |
Name | Specialty | Organization | Address |
---|---|---|---|
Henry M Paszko | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Jonathan W Hager | Internal Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Chanh C Huynh | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Christopher Khamphoune | Internal Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Rachel J Forberg | Nurse Practitioner | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Timothy P Clark | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Christine A Rodgers | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Jamie L Krautwurst | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Hui R Cai | Family Medicine | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Robert P Lawler | Physician Assistant | Churchville-chili Family Medicine, LLC | 4201 Buffalo Rd, North Chili, NY 14514-1256 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeremy A Sajdak | Physical Therapy | Canandaigua Physical Therapy PC | 3237 Union St, North Chili, NY 14514-1129 |
Orlee Stekel-perna | Clinical Social Worker | 4370 Buffalo Rd, North Chili, NY 14514-1206 | |
Lewis J Perna | Clinical Social Worker | 4370 Buffalo Rd, North Chili, NY 14514-1206 | |
Maureen E Sheehan | Clinical Social Worker | 4370 Buffalo Rd, North Chili, NY 14514-1206 |
City | NORTH CHILI |
Zip Code | 14514 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | NORTH CHILI + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brooke C Shannon.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.