Amy K Shannon (NPI# 1194798413, PAC ID# 4183615206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1194798413 |
| PAC ID by PECOS | 4183615206 |
| Professional Enrollment ID | I20130415000439 |
| Full Name | Amy K Shannon |
| Organization Legal Name | CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC |
| Address |
33 Beaver Dr Suite 1 Du Bois PA 15801-2434 |
| Phone Number | 8145038070 |
| Gender | F |
| Credential | MD |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 6002064433 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390052 | CLEARFIELD HOSPITAL |
| 390086 | PENN HIGHLANDS DUBOIS |
| 390197 | SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15 N Front St, Clearfield, PA 16830-2455 | 8145038070 | CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC |
| 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 | 8145038070 | CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC |
| 33 Beaver Dr, Du Bois, PA 15801-2434 | 8145038070 | CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC |
| Organization Legal Name | CLEARFIELD-JEFFERSON PRIMARY CARE ASSOCIATES PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy L Brown | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Nico D Roscoe | Family Medicine | Clearfield-jefferson Primary Care Associates PC | 15 N Front St, Clearfield, PA 16830-2455 |
| Ashley M Kentoski | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Rachel L Wicks | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Lauren Renee Bohley | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Brandon M Roscoe | Family Medicine | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Amy Marie Blunt | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Deborah Lynn Rummel | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Margo M Puhala | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Justine Marie Toven | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Du Bois, PA 15801-2434 |
| Street Address |
33 BEAVER DR SUITE 1 |
| City | DU BOIS |
| State | PA |
| Zip | 15801-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy L Brown | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Ashley M Kentoski | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Rachel L Wicks | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Lauren Renee Bohley | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Brandon M Roscoe | Family Medicine | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Amy Marie Blunt | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Deborah Lynn Rummel | Nurse Practitioner | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Margo M Puhala | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Suite 1, Du Bois, PA 15801-2434 |
| Justine Marie Toven | Physician Assistant | Clearfield-jefferson Primary Care Associates PC | 33 Beaver Dr, Du Bois, PA 15801-2434 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa A Smeltzer Wolfe | Clinical Social Worker | Community Guidance Center | 100 Caldwell Dr, Du Bois, PA 15801-1152 |
| Amanda Brooke Fremer | Physician Assistant | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Q Care Dubois, Dubois, PA 15801-1413 |
| Tabitha Joy Ashoff | Physician Assistant | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Gastroenterology, Du Bois, PA 15801-1413 |
| Rene Leigh Wells | Physician Assistant | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Q Care Dubois, Dubois, PA 15801-1413 |
| Obaid S Shaikh | Gastroenterology | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Gastroenterology, Du Bois, PA 15801-1413 |
| Sydney Marie Soberdash | Physician Assistant | Dubois Regional Medical Center | 621 S Main St, Du Bois, PA 15801-1413 |
| Darlene A. Brink | Nurse Practitioner | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Q Care Dubois, Dubois, PA 15801-1413 |
| Christos Karalis | Gastroenterology | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Gastroenterology, Du Bois, PA 15801-1413 |
| Lorie Beth Natoli | Physician Assistant | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Gastroenterology, Du Bois, PA 15801-1413 |
| Karrie L Kiskaddon | Family Medicine | Dubois Regional Medical Center | 621 S Main St, Penn Highlands Q Care Dubois, Dubois, PA 15801-1413 |
| Find all physicians in zip 15801 | |||
| City | DU BOIS |
| Zip Code | 15801 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | DU BOIS + OBSTETRICS/GYNECOLOGY |
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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.