FAUSTIN SHEA


Address: 1840 South St, Tuttleman Bldg,2nd Floor, Philadelphia, PA 19146-7411
Phone: 2158937244

FAUSTIN SHEA (NPI# 1750837225) 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) 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

Taxonomy

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

Office Location

Street Address 1840 SOUTH ST
TUTTLEMAN BLDG,2ND FLOOR
City PHILADELPHIA
State PA
Zip Code 19146-7411

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PHILADELPHIA
Zip Code 19146

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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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