Stephanie Rose Shehadi, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA056577 Issued in PA

Practice address

106 S Claude a Lord Blvd
Pottsville, PA 17901-3602

Phone

(570) 622-4209

NPI assigned

Jan 2, 2014

Last updated

Jan 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment
• Pennsylvania Urgent Care Centers, PLLC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Downingtown, PA
  • NPI 1902128721
  Medicare reassignment
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1790811446

  Physician Assistant

  NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Pelham, AL
  • NPI 1891701207
  NPD
• Pennsylvania Urgent Care Centers, PLLC

  • Urgent Care Clinic/Center
  • West Chester, PA
  • NPI 1629625652
  NPD (past)

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1407277874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 MONROE AVE",
            "address_2": "REAR APT 1",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092846",
            "telephone_number": "570-862-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S CLAUDE A LORD BLVD",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013602",
            "telephone_number": "570-622-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADI",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umai Shaik, M.D.
• Samantha L Shamonsky
• Lauren Nicole Shandor, OTR
• Logan Charles Shcherbyna, MD
• Ergeba Sheferaw, MD
• Carmella Rose Shemansik, MD
• Joseph B Sheris, MA
• Devan Shimko
• Daniella Shoener
• Heather Elaine Shuker, CRNP

• Physician Assistant in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.