Shawn Corcoran (NPI# 1134394851, PAC ID# 1951540616) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1134394851 |
| PAC ID by PECOS | 1951540616 |
| Professional Enrollment ID | I20171221002172 |
| Full Name | Shawn Corcoran |
| Organization Legal Name | OSU GENERAL INTERNAL MEDICINE LLC |
| Address |
2050 Kenny Rd Suite 1100 Columbus OH 43221-3502 |
| Phone Number | 6142938054 |
| Gender | M |
| Medical School | GEORGETOWN UNIVERSITY OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7517103955 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| 360242 | JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 2050 Kenny Rd, Suite 1100, Columbus, OH 43221-3502 | 6142938054 | OSU GENERAL INTERNAL MEDICINE LLC |
| Organization Legal Name | OSU GENERAL INTERNAL MEDICINE LLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Seuli M Brill | Internal Medicine | Osu General Internal Medicine LLC | 895 Yard St, Grandview Heights, OH 43212-3886 |
| Erin E Mcconnell | Internal Medicine | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Breanne Anstine | Clinical Social Worker | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Mark Troyer | Internal Medicine | Osu General Internal Medicine LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| Chipo Bvunzawabaya | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Stacy S Kelley | Nurse Practitioner | Osu General Internal Medicine LLC | 6515 Pullman Dr, Lewis Center, OH 43035-7380 |
| Martin Clendenning Fried | Internal Medicine | Osu General Internal Medicine LLC | 2050 Kenny Rd, Suite 1100, Columbus, OH 43221-3502 |
| Mary S Vondra | Internal Medicine | Osu General Internal Medicine LLC | 543 Taylor Ave, Columbus, OH 43203-1278 |
| Jodi M Grandominico | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Jeanne Caligiuri | Internal Medicine | Osu General Internal Medicine LLC | 3900 Stoneridge Ln, Dublin, OH 43017-2288 |
| Street Address |
2050 KENNY RD SUITE 1100 |
| City | COLUMBUS |
| State | OH |
| Zip | 43221-3502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Kim | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Priya Harakh Dedhia | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Ye Zhou | Nurse Practitioner | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| William S Pease | Physical Medicine and Rehabilitation | Osu Physical Medicine and Rehabilitation, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Stacy Alan Brethauer | General Surgery | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Sandra K Kostyk | Neurology | Osu Neuroscience Center, LLC | 2050 Kenny Rd, Fl 7, Columbus, OH 43221-3502 |
| Troy Allen Schaffernocker | Pulmonary Disease | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Kirsten Tychonievich | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Michael J Wert | Internal Medicine | Osu Internal Medicine, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Shannon M Greaker | Nurse Practitioner | Osu Surgery, LLC | 2050 Kenny Rd, Columbus, OH 43221-3502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Child | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Mary Steed-may | Clinical Social Worker | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| James Gebhart | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Megan G Thomas | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Patricia Ann Smith | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Rahe Corlis | Psychologist, Clinical | 3400 Kenny Rd, Columbus, OH 43221-1500 | |
| Katherine Scullion | Optometry | Riverside Eye Center LLC | 3434 Riverside Dr, Upper Arlington, OH 43221-1743 |
| Darrell D Dye | Optometry | Riverside Eye Center LLC | 3434 Riverside Dr, Upper Arlington, OH 43221-1743 |
| Eric Dean Ostrem | Optometry | 3220 Riverside Dr, Suite B1, Upper Arlington, OH 43221-1752 | |
| Robert P Egbert | Clinical Social Worker | Wellqor Psychological Services PC | 3500 Riverside Dr, Upper Arlington, OH 43221-1753 |
| Find all physicians in zip 43221 | |||
| City | COLUMBUS |
| Zip Code | 43221 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | COLUMBUS + INTERNAL MEDICINE |
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| 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.