Shenango Primary Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S008145L Issued in PA

Legal business name

SHENANGO PRIMARY CARE

Practice address

1750 New Butler Road
New Castle, PA 16101

Phone

(724) 657-5310

Fax

(724) 657-5315

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank James Melidona

Title

Owner President

Phone

(724) 657-5310

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1336284231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-657-5310",
            "fax_number": "724-657-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 NEW BUTLER ROAD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-657-5310",
            "fax_number": "724-657-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANGO PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "MELIDONA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "724-657-5310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S008145L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014301690009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "203752",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1027790",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Shaw
• Mary Katherine Shay, MA CCC-SLP
• Lawrence Andrew Shedwick Jr., PA-C
• Jayne Elizabeth Sheehan, MSN, RN, CRNP
• Shenango Area School District
• Janet Renee Shepherd
• Alicia Shevitz, R.N.
• Susan Marie Shingledecker, CRNA
• David R Shober, DO
• Michele M Shober, D.O.

• All providers in New Castle, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.