Active NPI
M Shane Angleton, P.A.
- Medical Physician Assistant
- Camden, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 003097-1
- Practice address
- 9562 State Route #13
Camden, NY 13316-4940 - Phone
- (315) 245-5029
- Fax
- (315) 245-5056
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 003097-1 | NY | Primary |
Addresses
Primary practice location
9562 State Route #13
Camden, NY 13316-4940
Mailing address
9562 State Route #13
Camden, NY 13316-4940
Phone (315) 245-5029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090402000644 | NY | Practitioner - Physician Assistant | 9739236092 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oneida Medical Practice PC
Practice addresses (Care Compare)
301 Genesee St
Oneida, NY 13421-2644
301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377
357 Genesee St
Suite 2
Oneida, NY 13421-2658
Phone (315) 363-4651
9562 State Route 13
Camden, NY 13316-4940
Phone (315) 245-5029
Hospital & facility affiliations
- Oneida Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3097 | NY | MD | Speech-Language Pathologist |
| 003097-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneida Medical Practice, PC | Current | Accepting new patients | |
| Primary Care Metabolic Disorders Medical Practice, PLLC | Past | Accepting new patients | |
| Sleep Disorders Lab of Central New York, LLC | Past | Accepting new patients |
Locations
9562 State Route 13
Camden, NY 13316
Phone (315) 245-1388
301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
Interoperability endpoints
- sangleton@ompohc.medentdirect.com
- mangleton@rmh.medalliesdirect.net
Organizations & group practices 4
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.
-
- Podiatrist
- Oneida, NY
- NPI 1356869838
-
- Primary Care Clinic/Center
- Utica, NY
- NPI 1942833835
-
- Sleep Specialist (PhD)
- Utica, NY
- NPI 1336570589
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1447280508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9562 STATE ROUTE #13",
"city": "CAMDEN",
"state": "NY",
"postal_code": "133164940",
"telephone_number": "315-245-5029",
"fax_number": "315-245-5056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9562 STATE ROUTE #13",
"city": "CAMDEN",
"state": "NY",
"postal_code": "133164940",
"telephone_number": "315-245-5029",
"fax_number": "315-245-5056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGLETON",
"first_name": "M",
"middle_name": "SHANE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "003097-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.