Amanda F Shawgo

Primary specialty

ContractorTaxonomy code 171W00000X

License

MSG003657 Issued in PA

Practice address

918 N Reading Rd
Ephrata, PA 17522-9794

Phone

(717) 335-2338

NPI assigned

Feb 2, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circle of Life Massage & Wellness Center, LLC

  • Massage Therapist
  • Ephrata, PA
  • NPI 1053923391
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1104364736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOOMERANG DR",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222442",
            "telephone_number": "717-715-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 N READING RD",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229794",
            "telephone_number": "717-335-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWGO",
        "first_name": "AMANDA",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "PA",
            "license": "MSG003657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffry Zane Scott, DDS
• Jack Sees, MD
• Anoop B Shah, MD
• Andrea Marie Shanafelt, MSPT
• John Shand, MD
• Lisa K Sheaffer, PHARM.D.
• Andrea Shelly, PA-C
• Donald Alan Sherman, R. PH.
• Tracy Sherman, CRNA
• Hannah Kessler Shope, LMT

• Contractor in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.