Shahnaz Jagiello, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA001051L Issued in PA

Practice address

20399 Route 19
Suite 203, One Landmark North
Cranberry TWP, PA 16066-6134

Phone

(724) 772-8000

Fax

(724) 772-8040

NPI assigned

Apr 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Ars Treatment Centers, P.C.

  • Multi-Specialty Clinic/Center
  • Uniontown, PA
  • NPI 1346731171
  NPD (past)
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619090768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20399 ROUTE 19",
            "address_2": "SUITE 203, ONE LANDMARK NORTH",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666134",
            "telephone_number": "724-772-8000",
            "fax_number": "724-772-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20399 ROUTE 19",
            "address_2": "SUITE 203, ONE LANDMARK NORTH",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160666134",
            "telephone_number": "724-772-8000",
            "fax_number": "724-772-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGIELLO",
        "first_name": "SHAHNAZ",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA001051L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER HEALTH PROVIDER",
            "identifier": "15139",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Ingold
• Philip Iozzi
• Lauren Isaacs, MS, CCC-SLP
• Stephanie Jack, MS CCC-SLP/L
• Benjamin P Jagiello, M.D.
• Kimberly Jahoda, RN
• Jamie Mixter Counseling
• Kenneth W Johnson
• Jordan Family Chiropractic LLC
• Amanda Jordan, D.C.

• Physician Assistant in Cranberry TWP, PA
• Providers in Cranberry TWP, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.