Shannon M Convery (NPI# 1871803676, PAC ID# 4385865880) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1871803676 |
| PAC ID by PECOS | 4385865880 |
| Professional Enrollment ID | I20141027001815 |
| Full Name | Shannon M Convery |
| Organization Legal Name | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Address |
590 N Leavitt Rd Amherst OH 44001-1131 |
| Phone Number | 4409342650 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072417534 |
| Number of Group Practice Members | 857 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360145 | UNIVERSITY HOSPITALS - ELYRIA MEDICAL CENTER |
| 360172 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 590 N Leavitt Rd, Amherst, OH 44001-1131 | 4409342650 | UNIVERSITY PRIMARY CARE PRACTICES INC |
| 158 W Main Rd, Conneaut, OH 44030-2039 | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Organization Legal Name | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Physicians | 933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Crawford | Family Medicine | University Primary Care Practices Inc | 15900 Snow Rd, Suite 302, Brookpark, OH 44142-2860 |
| Laura Tramer | Nurse Practitioner | University Primary Care Practices Inc | 7856 Brookside Dr, Olmsted Falls, OH 44138-1653 |
| Cherie Renee Phillips | Vascular Surgery | University Primary Care Practices Inc | 6707 Powers Blvd, Suite 202, Parma, OH 44129-5464 |
| Amanda Iliano | Nurse Practitioner | University Primary Care Practices Inc | 27155 Chardon Rd, Suite 205, Richmond Hts, OH 44143-1166 |
| Geetika Bhatt | Hematology/oncology | University Primary Care Practices Inc | 5885 Landerbrook Dr, Suite 100, Mayfield Hts, OH 44124-4031 |
| Samantha Kiefer | Family Medicine | University Primary Care Practices Inc | 167 W Main Rd F, Conneaut, OH 44030-2057 |
| Vineeta Gahlawat | General Surgery | University Primary Care Practices Inc | 1025 Ctr St, Ashland, OH 44805-4011 |
| Kathryn Alto | Nurse Practitioner | University Primary Care Practices Inc | 88 Ctr Rd, Suite 250a, Bedford, OH 44146-2711 |
| Kaitlin E Maloney | Physician Assistant | University Primary Care Practices Inc | 630 E River St, Elyria, OH 44035-5902 |
| Turker Yilmaz | Otolaryngology | University Primary Care Practices Inc | 2131 Lake Ave, Suite 4, Ashtabula, OH 44004-3466 |
| Street Address |
590 N LEAVITT RD |
| City | AMHERST |
| State | OH |
| Zip | 44001-1131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Wagner | Family Medicine | University Primary Care Practices Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Christina A Zarate Kolp | Family Medicine | University Primary Care Practices Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Gary W Dinger | Family Medicine | University Primary Care Practices Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Bradley Don Barker | Family Medicine | University Primary Care Practices Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Marzena A Jakubowski | Certified Nurse Midwife | North Coast Obstetrics and Gynecology Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Karen M Mihalik | Obstetrics/gynecology | North Coast Obstetrics and Gynecology Inc | 590 N Leavitt Rd, Amherst, OH 44001-1131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beatrice Cardona Weese | Nurse Practitioner | Mercy Health Physicians Lorain LLC | 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 |
| Adefunke Adedipe | Family Medicine | Mercy Health Physicians Lorain LLC | 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 |
| Garren J Decaro | Internal Medicine | Mercy Health Physicians Lorain LLC | 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 |
| Elizabeth Frantz | Psychologist, Clinical | Mercy Health Physicians Lorain LLC | 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 |
| Kathryne L Volpe-bates | Nurse Practitioner | Mercy Health Physicians Lorain LLC | 101 Cooper Foster Park Rd, Amherst, OH 44001-1001 |
| Mitchell Goozdich Iii | Chiropractic | 113 N Leavitt Rd, Amherst, OH 44001-1100 | |
| Caitlin Lee Crowell | Physician Assistant | Mercy Health Physicians Lorain LLC | 578 N Leavitt Rd, Amherst, OH 44001-1131 |
| Paul Yavornitzky | Psychologist, Clinical | Far West Center | 574 N Leavitt Rd, Amherst, OH 44001-1131 |
| James K. Matheson | Obstetrics/gynecology | Mercy Health Physicians Lorain LLC | 578 N Leavitt Rd, Amherst, OH 44001-1131 |
| Joi M Robinson-tidmore | Obstetrics/gynecology | Mercy Health Physicians Lorain LLC | 578 N Leavitt Rd, Amherst, OH 44001-1131 |
| Find all physicians in zip 44001 | |||
| City | AMHERST |
| Zip Code | 44001 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | AMHERST + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shannon M Convery.
| 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.