Shaun P Mcdonald


Address: 515 S Washburn St, Suite 204, Oshkosh, WI 54904-7996

Shaun P Mcdonald (NPI# 1669486320, PAC ID# 2365465549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1669486320
PAC ID by PECOS 2365465549
Professional Enrollment ID I20060116000050
Full Name Shaun P Mcdonald
Address 515 S Washburn St
Suite 204
Oshkosh
WI 54904-7996
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1992
Primary Specialty DERMATOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520009 ST ELIZABETH HOSPITAL

Other Locations

Address Phone Organization
515 S Washburn St, Suite 204, Oshkosh, WI 54904-7996

Organization Information

Office Location

Street Address 515 S WASHBURN ST
SUITE 204
City OSHKOSH
State WI
Zip 54904-7996

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Competitor

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City OSHKOSH
Zip Code 54904
Specialty DERMATOLOGY
City + Specialty OSHKOSH + DERMATOLOGY

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Dataset Information

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.

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