SHAWN L KIBE (NPI# 1598860843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598860843 |
| Entity Type | Individual |
| Full Name | SHAWN L KIBE |
| Credential | PAC |
| Practice Address |
101 Regent Ct State College PA 16801-7965 |
| Practice Telephone | 8142312101 |
| Practice Fax Number | 8142318569 |
| Mailing Telephone | 8142312101 |
| Mailing Fax Number | 8142318569 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA002874L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 REGENT CT |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-7965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952383408 | Scott Alan Devore | Specialist | 101 Regent Ct, State College, PA 16801-7965 | 2005-11-18 |
| 1053957571 | Katherine Allison Shaak | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2019-11-19 |
| 1790333755 | Brooke Nicole Maneval | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2019-09-03 |
| 1285182089 | Robert M Lawler Jr. | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2016-09-21 |
| 1770987976 | Kelsey Ulrich | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2014-10-16 |
| 1477955425 | Zachary Kavo | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2014-09-22 |
| 1417385881 | Brad Rickabaugh | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2013-10-23 |
| 1083989800 | John Arthur Smaniotto | Specialist/Technologist | 101 Regent Ct, State College, PA 16801-7965 | 2012-03-12 |
| 1770863672 | Erin Marie Veneziano | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2011-08-23 |
| 1558655308 | Casey Reade Antholz | Orthopaedic Surgery | 101 Regent Ct, State College, PA 16801-7965 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245261643 | Rose Therese Villarreal | Physician Assistant | 611 University Dr Ste 210, State College, PA 16801 | 2006-07-05 |
| 1386245827 | Sarah Elizabeth Westin | Physician Assistant | 1526 Martin St, State College, PA 16803-3058 | 2020-11-02 |
| 1992180053 | Shauna Landrey | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2015-07-29 |
| 1679973044 | Hans D. Reisinger | Physician Assistant | 1700 Old Gatesburg Rd Ste 310, State College, PA 16803-2276 | 2014-09-03 |
| 1669654463 | Angela P Urban | Physician Assistant | 1800 E Park Ave, State College, PA 16803-6709 | 2007-12-04 |
| 1720154610 | Todd E. Brunermer | Physician Assistant | 101 Regent Ct, State College, PA 16801-7965 | 2006-11-24 |
| 1821184391 | Sara Margaret Tyson | Physician Assistant | 1850 E Park Ave, Ste 201, State College, PA 16803-6706 | 2006-10-04 |
| 1528163797 | Erin Elizabeth Gilroy | Physician Assistant | 476 Rolling Ridge Dr, Suite 200, State College, PA 16801-7639 | 2006-09-13 |
| 1245335660 | Jennifer M Illig | Physician Assistant | 1850 E Park Ave Ste 201, State College, PA 16803-6706 | 2006-09-13 |
| 1598728495 | Caryl L. Waite | Physician Assistant | 3901 S Atherton St, Suite 5, State College, PA 16801-8324 | 2006-04-11 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
Please comment or provide details below to improve the information on SHAWN L KIBE.
| 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.