Active NPI
Shirley Jean Mahoney
- Surgical Assistant
- Waynesboro, PA
National Provider Identifier
1083598718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0136000332
- Practice address
- 501 E Main St
Waynesboro, PA 17268-2353 - Phone
- (717) 765-4000
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136000332 | VA | Primary |
| Surgical Assistant | 246ZC0007X | SA2000043 | DC |
Addresses
Primary practice location
501 E Main St
Waynesboro, PA 17268-2353
Mailing address
509 Edgemont Ter
Martinsburg, WV 25401-2443
Phone (304) 582-8225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA2000043 | DC | MD | Surgical Assistant |
| 0136000332 | VA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1083598718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 EDGEMONT TER",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012443",
"telephone_number": "304-582-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E MAIN ST",
"city": "WAYNESBORO",
"state": "PA",
"postal_code": "172682353",
"telephone_number": "717-765-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "SHIRLEY",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136000332",
"primary": true
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "DC",
"license": "SA2000043",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.