SHANE SCAVELLO


Address: 133 Old Road To 9 Acre Cor, Concord, MA 01742-4159
Phone: 9783691400

SHANE SCAVELLO (NPI# 1205437498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 133 OLD ROAD TO 9 ACRE COR
City CONCORD
State MA
Zip Code 01742-4159

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CONCORD
Zip Code 01742

Improve Information

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Dataset Information

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.

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