SHANE SCAVELLO (NPI# 1205437498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205437498 |
Entity Type | Individual |
Full Name | SHANE SCAVELLO |
Credential | PA |
Practice Address |
133 Old Road To 9 Acre Cor Concord MA 01742-4159 |
Mailing Address |
5 Sesame St Westerly RI 02891-1304 |
Practice Telephone | 9783691400 |
Mailing Telephone | 4013783521 |
Enumeration Date | 2020-11-04 |
Last Update Date | 2020-11-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
133 OLD ROAD TO 9 ACRE COR |
City | CONCORD |
State | MA |
Zip Code | 01742-4159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265421523 | Gerald Oscar Malkin | Anesthesiology | 133 Old Road To 9 Acre Cor, Emerson Hospital Department of Anesthesia, Concord, MA 01742-4159 | 2005-10-19 |
1568080588 | Emily Stekl | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-07-07 |
1184249237 | Annie Yuan | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
1255956215 | Quyen Thuy Cao | Student in an Organized Health Care Education/Training Program | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2020-06-15 |
1720619711 | Joseph Eddy | Pharmacist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2020-01-29 |
1518508035 | Evan Salvatore | Dietitian, Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-10-06 |
1508324195 | Maria Antonucci | Pharmacy | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2019-03-04 |
1558847525 | Rachael Greenleaf | Nurse Anesthetist, Certified Registered | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4169 | 2018-07-12 |
1740771807 | Sarah A Mistretta | Speech-Language Pathologist | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2018-05-24 |
1912496464 | Sean Waldron | Social Worker | 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159 | 2018-05-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
Find all providers in zip 01742 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457515223 | Georgia A Plamondon | Physician Assistant | 248 Pleasant St Ste G200, Concord, NH 03301-7529 | 2008-07-11 |
1114947850 | David Harrison Sargent | Physician Assistant | 246 Pleasant St Ste 205, Concord, NH 03301-2548 | 2006-07-19 |
1427038751 | Lawrence O'malley | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2006-01-20 |
1184248924 | Dustin Edwards | Physician Assistant | 920 Church St N, Concord, NC 28025-2927 | 2020-06-06 |
1043842859 | Anastasha Molina | Physician Assistant | 200 Medical Park Dr Ste 400, Concord, NC 28025-0939 | 2020-02-10 |
1285097436 | Caitlin Rhys Hackford | Physician Assistant | 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 | 2016-04-04 |
1730421348 | Lebron A Saulter | Physician Assistant | 54 Baker Avenue Ext, Suite 101, Concord, MA 01742-2137 | 2013-03-21 |
1316246382 | Karen Ann Barry | Physician Assistant | 264 Pleasant St, Concord, NH 03301-2551 | 2011-03-16 |
1578878625 | Ricki Paul Nolley Jr. | Physician Assistant | 1800 Sutter St Ste 100, Concord, CA 94520-2530 | 2010-08-13 |
1013220110 | Erika M Nigam | Physician Assistant | 100 Medical Park Dr, Suite 210, Concord, NC 28025-2948 | 2010-07-16 |
Find all providers in CONCORD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.