Shauna Marie Ketchum (NPI# 1750617072, PAC ID# 9830374529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1750617072 |
| PAC ID by PECOS | 9830374529 |
| Professional Enrollment ID | I20110422000102 |
| Full Name | Shauna Marie Ketchum |
| Organization Legal Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Address |
300 W Ave Brockport NY 14420-1118 |
| Phone Number | 7166373905 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5496746927 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 W Ave, Brockport, NY 14420-1118 | 7166373905 | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| 300 W Ave, Mobile Dental Van, Brockport, NY 14420-1118 | 5856373905 | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Organization Legal Name | OAK ORCHARD COMMUNITY HEALTH CENTER, INC. |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa J. Chang | Family Medicine | Oak Orchard Community Health Center, Inc. | 301 W Ave, Albion, NY 14411-1522 |
| Carol A Kreider | Nurse Practitioner | Oak Orchard Community Health Center, Inc. | 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691 |
| Donna Tuttle | Family Medicine | Oak Orchard Community Health Center, Inc. | 81 S Main St, Warsaw, NY 14569-1571 |
| John L Hoffmann | Emergency Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Robert Whelpley | Family Medicine | Oak Orchard Community Health Center, Inc. | 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691 |
| Uzma S Mehr | Pediatric Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Yuqi Mao | Family Medicine | Oak Orchard Community Health Center, Inc. | 7309 Seneca Rd N, Suite 112, Hornell, NY 14843-9691 |
| Michelle L Okonieczny | Nurse Practitioner | Oak Orchard Community Health Center, Inc. | 301 W Ave, Albion, NY 14411-1522 |
| Catherine M Goetz | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Nancy A Ciavarri | Family Medicine | Oak Orchard Community Health Center, Inc. | 301 W Ave, Albion, NY 14411-1522 |
| Street Address |
300 W AVE |
| City | BROCKPORT |
| State | NY |
| Zip | 14420-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John L Hoffmann | Emergency Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Uzma S Mehr | Pediatric Medicine | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Catherine M Goetz | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Elaine C Burritt | Physician Assistant | Oak Orchard Community Health Center, Inc. | 300 W Ave, Brockport, NY 14420-1118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Sigillo | Chiropractic | 18 Graves St, Brockport, NY 14420-1206 | |
| Thomas R Adler | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Anitha V Shrikhande | Allergy/immunology | Westside Allergy Care, PC | 122 W Ave, Suite 6, Brockport, NY 14420-1225 |
| Jade J Malcho | Emergency Medicine | Emergency Associates - University of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Sandeep Mannava | Orthopedic Surgery | University Orthopaedic Associates of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Gregory Mark Singer | Cardiovascular Disease (cardiology) | 156 W Ave, 206 Lakeside Memorial Hosp, Brockport, NY 14420-1229 | |
| Michael Vornovitsky | Cardiovascular Disease (cardiology) | Cardiology Clinical Group | 156 W Ave, 3rd Floor, Brockport, NY 14420-1229 |
| Allan D Bernstein | Diagnostic Radiology | Radiologists of Univ of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Patrick L Reavey | Plastic and Reconstructive Surgery | U of R Plastic Surgeons | 156 W Ave, Fl 3, Brockport, NY 14420-1229 |
| David L Hamilton | Internal Medicine | University of Rochester | 156 W Ave, Brockport, NY 14420-1229 |
| Find all physicians in zip 14420 | |||
| City | BROCKPORT |
| Zip Code | 14420 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BROCKPORT + PHYSICIAN ASSISTANT |
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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.