Kelly Renee Shank (NPI# 1528573490, PAC ID# 8022363001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1528573490 |
| PAC ID by PECOS | 8022363001 |
| Professional Enrollment ID | I20180614002253 |
| Full Name | Kelly Renee Shank |
| Organization Legal Name | GOLLA CENTER FOR PLASTIC SURGERY, P.C. |
| Address |
107 Gamma Dr Suite 210 Pittsburgh PA 15238-2936 |
| Phone Number | 4129636677 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7618000126 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390168 | BUTLER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 102 Technology Dr, Suite 210, Butler, PA 16001-1784 | 7244820191 | GOLLA CENTER FOR PLASTIC SURGERY, P.C. |
| 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 | 4129636677 | GOLLA CENTER FOR PLASTIC SURGERY, P.C. |
| Organization Legal Name | GOLLA CENTER FOR PLASTIC SURGERY, P.C. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Jiun Ho | Plastic and Reconstructive Surgery | Golla Center for Plastic Surgery, P.C. | 200 School St, Wintersville, OH 43953-9610 |
| Taylor N Stewart | Nurse Practitioner | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Amy C Horvat | Nurse Practitioner | Golla Center for Plastic Surgery, P.C. | 500 Pine Hollow Rd, Mc Kees Rocks, PA 15136-1683 |
| Dinakar Golla | Plastic and Reconstructive Surgery | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Ellis Senanu Kojo Sampram | General Surgery | Golla Center for Plastic Surgery, P.C. | 200 School St, Wintersville, OH 43953-9610 |
| Natalie D Austin | Physician Assistant | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Jenifer Reddy | Dermatology | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Michelle L Zuba | General Practice | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Rebecca Deramo | Physician Assistant | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Rise Lee Katnik | Nurse Practitioner | Golla Center for Plastic Surgery, P.C. | 200 School St, Wintersville, OH 43953-9610 |
| Street Address |
107 GAMMA DR SUITE 210 |
| City | PITTSBURGH |
| State | PA |
| Zip | 15238-2936 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor N Stewart | Nurse Practitioner | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Dinakar Golla | Plastic and Reconstructive Surgery | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Emily A Lucchino | Chiropractic | Cenk Chiropractic LLC | 107 Gamma Dr, Suite 100, Pittsburgh, PA 15238-2917 |
| Natalie D Austin | Physician Assistant | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Donald R Cenk | Chiropractic | Cenk Chiropractic LLC | 107 Gamma Dr, Suite 100, Pittsburgh, PA 15238-2917 |
| Jenifer Reddy | Dermatology | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Michelle L Zuba | General Practice | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Rebecca Deramo | Physician Assistant | Golla Center for Plastic Surgery, P.C. | 107 Gamma Dr, Suite 210, Pittsburgh, PA 15238-2936 |
| Jesse A Sally | Physical Medicine and Rehabilitation | Rehabilitation and Pain Specialists | 107 Gamma Dr, Suite 220, Pittsburgh, PA 15238-2917 |
| Marc J Adelsheimer | Physical Medicine and Rehabilitation | Rehabilitation and Pain Specialists | 107 Gamma Dr, Suite 220, Pittsburgh, PA 15238-2917 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce R Kelly | Internal Medicine | Allegheny Clinic | 320 Guys Run Rd, Pittsburgh, PA 15238 |
| Eric J Skvarla | Family Medicine | Sky Sports Medicine Pllc | 715 Dorseyville Rd, H2, Pittsburgh, PA 15238-1124 |
| Kristine Watson | Nurse Practitioner | Sky Sports Medicine Pllc | 715 Dorseyville Rd, H2, Pittsburgh, PA 15238-1124 |
| Clarence W Mccaslin Iii | Chiropractic | 2585 Freeport Rd, Suite 106, Pittsburgh, PA 15238-1426 | |
| Karl F.c. Liebe | Physical Medicine and Rehabilitation | Choicecare Physicians P C | 2585 Freeport Rd, Suite 105, Pittsburgh, PA 15238-1426 |
| Maryann C Dowling | Nurse Practitioner | Choicecare Physicians P C | 2585 Freeport Rd, Suite 105, Pittsburgh, PA 15238-1426 |
| Milas Zernich | Internal Medicine | Allegheny Clinic | 320 Guys Run Rd, Agh Internal Medicine, Pittsburgh, PA 15238-1460 |
| Krishna Narayanan | Plastic and Reconstructive Surgery | Krishna Narayanan, Md, LLC | 38 Easton Rd, Pittsburgh, PA 15238-1837 |
| Rajeshwar Dayal Kapoor | Internal Medicine | 624 Whispering Pines Dr, Pittsburgh, PA 15238-1947 | |
| Heather L Rack | Nurse Practitioner | Hope Extended Care Services Inc | 202 Timber Ridge Rd, Pittsburgh, PA 15238-2436 |
| Find all physicians in zip 15238 | |||
| City | PITTSBURGH |
| Zip Code | 15238 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PITTSBURGH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Renee Shank.
| 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.