MISS SHELBY MIRANDA HALL (NPI# 1386111433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386111433 |
| Entity Type | Individual |
| Full Name | MISS SHELBY MIRANDA HALL |
| Credential | PA-C |
| Practice Address |
40 George Karl Blvd Williamsville NY 14221-7183 |
| Practice Telephone | 7162181000 |
| Mailing Telephone | 7162181000 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 025325 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1283 Penora Street, Depew, NY 14043 | 7162471973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669935912 | Shelby Leanne Hall | Student in an Organized Health Care Education/Training Program | 3420 5th Ave, Pittsburgh, PA 15213-3205 | 2019-04-12 |
| 1649732967 | Shelby Hall | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-04-04 |
| 1760968242 | Shelby L Hall | Massage Therapist | 360 E International Airport Rd Ste 4, Anchorage, AK 99518-1217 | 2018-07-17 |
| 1326546078 | Shelby Hall | Occupational Therapy Assistant | 3005 Apache Dr, Jonesboro, AR 72401-7432 | 2018-01-29 |
| 1356683676 | Shelby Lanae Hall | Counselor | 7610 N Union Blvd Ste 145, Colorado Springs, CO 80920-3894 | 2013-03-25 |
| 1730416512 | Shelby L Hall | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015 | 2009-11-16 |
| 1770776247 | Shelby A Hall | Pharmacist | 35 Hannaford Dr, Red Hook, NY 12571-1653 | 2007-08-19 |
| 1275688327 | Shelby Hall | Speech-Language Pathologist | 2002 Mcfarland Blvd E, Suite 209, Tuscaloosa, AL 35404-5805 | 2007-01-25 |
| Street Address |
40 GEORGE KARL BLVD |
| City | WILLIAMSVILLE |
| State | NY |
| Zip Code | 14221-7183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285739 | Douglas B Moreland | Neurological Surgery | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2005-12-14 |
| 1063073468 | Andrea Parish | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-26 |
| 1134788037 | Collin Krasowski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2019-06-13 |
| 1528554045 | Marisa Phillips | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2018-07-09 |
| 1578056024 | Alicia Valerie Jancevski | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2018-06-10 |
| 1841719572 | Julia Gajewski | Nurse Practitioner | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2017-09-13 |
| 1629598743 | Brian Travis Geller | Chiropractor | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2017-06-20 |
| 1770961427 | Sunjay Kapoor | Chiropractor | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2015-05-14 |
| 1174939425 | Michael Tworkowski | Pain Medicine | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2014-07-08 |
| 1619304128 | Tashia Sperry | Physician Assistant | 40 George Karl Blvd, Williamsville, NY 14221-7183 | 2013-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447552 | Kuldesh Singh Ubhi | Student in an Organized Health Care Education/Training Program | 850 Hoplins Road, Williamsville, NY 14221 | 2020-11-04 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
| 1457961104 | Maria Fagant | Licensed Practical Nurse | 2550 Wehrle Drive Suite 1, Williamsville, NY 14221 | 2020-08-07 |
| 1073136362 | Nicole Marie Mauro | Licensed Practical Nurse | 2550 Wehrle Drive, Williamsville, NY 14221 | 2020-05-21 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1669031365 | Anh Thi Nguyet Phan | Student in an Organized Health Care Education/Training Program | 850 Hopkins Rd., Williamsville, NY 14221 | 2019-06-07 |
| 1801453394 | Buffalo Medical Group, PC | Clinic/Center | 325 Essjay, Williamsville, NY 14221 | 2019-05-21 |
| 1265097265 | Christine Marie Wolniewicz | Dietitian, Registered | 507 Maple Rd., Williamsville, NY 14221 | 2019-05-06 |
| 1750844957 | Myles S Faith | Psychologist | 190 Rollingwood Street, Williamsville, NY 14221 | 2019-04-13 |
| 1902376536 | Shane Michael Stadtmueller | Chiropractor | 5820 Main St. Suite 201, Williamsville, NY 14221 | 2018-11-27 |
| Find all providers in zip 14221 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225661671 | Edward John Rutkowski | Physician Assistant | 10 Forestglen Cir, Williamsville, NY 14221-1359 | 2020-02-13 |
| 1215491600 | Amber L Phillippi | Physician Assistant | 19 Limestone Dr Ste 11, Williamsville, NY 14221-7091 | 2019-01-30 |
| 1437625035 | Chelsea Nicole Giaraffa | Physician Assistant | 55 Spindrift Dr Ste 101, Williamsville, NY 14221-7891 | 2018-10-22 |
| 1356744650 | Avriel Sarah Kopp | Physician Assistant | 6645 Main St. Suite B, Ent Care of Wny, Williamsville, NY 14221 | 2014-09-30 |
| 1912294471 | Shane Patrick Griffin | Physician Assistant | 5500 Main St Ste 107, Williamsville, NY 14221-6766 | 2011-07-06 |
| 1124330048 | Victoria Elizabeth Grudzinski | Physician Assistant | 1020 Youngs Rd Ste 110, Williamsville, NY 14221-2698 | 2010-07-08 |
| 1740502301 | Scott Wilkowski | Physician Assistant | 297 Spindrift Dr Ste 100, Williamsville, NY 14221-7894 | 2010-02-24 |
| 1215183579 | Danielle Lynn Vandette | Physician Assistant | 1120 Youngs Road, Williamsville, NY 14221 | 2008-08-18 |
| 1114104593 | Kristin Nicole Kager | Physician Assistant | 6255 Sheridan Dr, Williamsville, NY 14221-4836 | 2008-01-28 |
| 1306040480 | Carrie E Mcpherson | Physician Assistant | 18 Limestone Dr Ste 5, Williamsville, NY 14221-8602 | 2007-06-13 |
| Find all providers in WILLIAMSVILLE | ||||
| City | WILLIAMSVILLE |
| Zip Code | 14221 |
Please comment or provide details below to improve the information on MISS SHELBY MIRANDA HALL.
| 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.