Shannon L Bonczyk (NPI# 1043653652, PAC ID# 8921240607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1043653652 |
| PAC ID by PECOS | 8921240607 |
| Professional Enrollment ID | I20130808000491 |
| Full Name | Shannon L Bonczyk |
| Organization Legal Name | ODELL FAMILY CHIROPRACTIC PC |
| Address |
853 Ridge Rd Webster NY 14580-2550 |
| Phone Number | 5856719210 |
| Gender | F |
| Medical School | NEW YORK CHIROPRACTIC COLLEGE |
| Graduation Year | 2013 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3173603768 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 428 White Spruce Blvd, Rochester, NY 14623-1608 | 5856719210 | ODELL FAMILY CHIROPRACTIC PC |
| 853 Ridge Rd, Webster, NY 14580-2550 | 5856719210 | ODELL FAMILY CHIROPRACTIC PC |
| Organization Legal Name | ODELL FAMILY CHIROPRACTIC PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Debole | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Scott P Shales | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Norman E O Dell | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Street Address |
853 RIDGE RD |
| City | WEBSTER |
| State | NY |
| Zip | 14580-2550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Debole | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Scott P Shales | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Norman E O Dell | Chiropractic | Odell Family Chiropractic PC | 853 Ridge Rd, Webster, NY 14580-2550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen S Robb | Family Medicine | Western New York Medical Practice PC | 630 Bay Rd, Webster, NY 14580-1241 |
| Marilyn Sullivan | Nurse Practitioner | Webster Psychiatry and Medicine, Pllc | 1678 Empire Blvd, Suite 100, Webster, NY 14580-1896 |
| Sahar Elezabi | Internal Medicine | Webster Psychiatry and Medicine, Pllc | 1678 Empire Blvd, Suite 100, Webster, NY 14580-1896 |
| Philip M Ashman | Urology | 1680 Empire Blvd, Suite 100, Webster, NY 14580-1897 | |
| Emily Elizabeth Graham | Physical Therapy | Genesee Valley Physical Therapy and Sports Rehab PC | 1209 Bay Rd, Webster, NY 14580-1901 |
| Kimberley Clark | Physical Therapy | Clark Physical Therapy PC | 2115 Empire Blvd, Webster, NY 14580-1907 |
| Jamie Clark | Physical Therapy | Clark Physical Therapy PC | 2115 Empire Blvd, Webster, NY 14580-1907 |
| Rachel Colleen Lemoine | Physical Therapy | Lattimore of Webster Physical Therapy, PC | 2000 Empire Blvd, Bldg 2, Webster, NY 14580-1957 |
| John K Huselton | Internal Medicine | Rochester General Hospital | 2000 Empire Blvd, Webster, NY 14580-1957 |
| Julie A Prattico | Physical Therapy | Lattimore of Webster Physical Therapy, PC | 2000 Empire Blvd, Bldg 2, Webster, NY 14580-1957 |
| Find all physicians in zip 14580 | |||
| City | WEBSTER |
| Zip Code | 14580 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WEBSTER + CHIROPRACTIC |
Please comment or provide details below to improve the information on Shannon L Bonczyk.
| 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.