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Susan B Shea

  • Female

Medical Specialty

Professional ID

  • NPI: 1881708881
  • PECOS ID: 8921900325
  • Enrollment ID: I20040126000350
  • Credential(MD, DO, DPM): NP
  • Medical School:
  • Medical School Graduation Year: 1997

Hospital Service

  • Hospital CCN1: 050174
  • Business Name (LBN)1: Santa Rosa Memorial Hospital
  • Hospital CCN2: 050291
  • Business Name (LBN)2: Sutter Santa Rosa Regional Hospital
  • Hospital CCN3: 050047
  • Business Name (LBN)3: California Pacific Medical Ctr-pacific Campus Hosp

Medical Practices

  • Organization Name: Sutter West Bay Medical Foundation
  • Group Practice ID assigned by PECOS: 0345145025
  • Number of Group Practice member: 343

Location

  • Address1: 131 Stony Cir
  • Address2: Suite 1600
  • City: Santa Rosa
  • State: California
  • Zip Code: 95401
  • Phone Number: (707)541-7700

Location

Location

  • Address1: 4700 Hoen Ave
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95405
  • Phone Number: (707)526-3360

Location

  • Address1: 4702 Hoen Ave
  • Address2:
  • City: Santa Rosa
  • State: California
  • Zip Code: 95405
  • Phone Number: (707)521-7750

Medical Practices

  • Organization Name: Sutter Bay Medical Foundation
  • Group Practice ID assigned by PECOS: 4284538778
  • Number of Group Practice member: 2407

Location

  • Address1: 131 Stony Cir
  • Address2: Suite 1600
  • City: Santa Rosa
  • State: California
  • Zip Code: 95401
  • Phone Number: (707)541-7800

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):