FAUSTIN SHEA (NPI# 1750837225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750837225 |
Entity Type | Individual |
Full Name | FAUSTIN SHEA |
Credential | PA-C |
Practice Address |
1840 South St Tuttleman Bldg,2nd Floor Philadelphia PA 19146-7411 |
Practice Telephone | 2158937244 |
Mailing Telephone | 2158937244 |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-11-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | OA002954 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058509 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1840 SOUTH ST TUTTLEMAN BLDG,2ND FLOOR |
City | PHILADELPHIA |
State | PA |
Zip Code | 19146-7411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750385449 | Eliot M Wallack | Psychiatry & Neurology | 1840 South St, Tuttleman Building, Philadelphia, PA 19146-7411 | 2005-06-09 |
1013367606 | Akshay Bhatt | Student in an Organized Health Care Education/Training Program | 1840 South St, Philadelphia, PA 19146-7411 | 2016-06-15 |
1467890053 | Nadia Hasan | Family Medicine | 1840 South St, Philadelphia, PA 19146 | 2013-06-05 |
1568773042 | Monika Kumanova | Family Medicine | 1840 South St, Tuttleman Building, Philadelphia, PA 19146-7411 | 2010-06-29 |
1508866377 | Robert W Rothrock | Physician Assistant | 1840 South St, Tuttleman Building, 2nd Floor, Philadelphia, PA 19146-7411 | 2005-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
Find all providers in zip 19146 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
1356951024 | Murielle M Boursiquot | Physician Assistant | 7901 Henry Ave Apt G302, Philadelphia, PA 19128-3072 | 2020-08-06 |
1134757156 | Julie Hutchison | Physician Assistant | 2922 N 5th St, Philadelphia, PA 19133-2801 | 2020-03-27 |
1174155857 | Rebecca Volpe | Physician Assistant | 738 Longshore Ave, Philadelphia, PA 19111-4325 | 2020-02-10 |
1306308879 | Ria Raju | Physician Assistant | 7909 Lawndale Ave, Philadelphia, PA 19111-2652 | 2019-04-03 |
1386101400 | Ashley Thomas | Physician Assistant | 9331 Old Bustleton Ave Ste 100a, Philadelphia, PA 19115 | 2019-02-25 |
1487119186 | Shelby Elizabeth Ginsburg | Physician Assistant | 1200 W Tabor Rd Fl Bl4, Philadelphia, PA 19141-3019 | 2019-02-06 |
1346720059 | Noelle Elizabeth Mullanaphy | Physician Assistant | 4031 Sheffield St, Philadelphia, PA 19136-3101 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19146 |
Please comment or provide details below to improve the information on FAUSTIN SHEA.
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.