Active NPI
Adam David Shean, PA-C
- Physician Assistant
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027119
- Practice address
- 2950 Elmwood Ave
Buffalo, NY 14217-1304 - Phone
- (716) 447-6100
- NPI assigned
- Jun 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 027119 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Buffalo, NY 14217-1304
Mailing address
10845 Utley Ave
Conneaut Lake, PA 16316-2949
Phone (716) 515-8353
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2157 Main St
Buffalo, NY 14214-2648
Phone (716) 837-2400
2950 Elmwood Ave
Kenmore, NY 14217-1304
3435 Bailey Ave
Buffalo, NY 14215-1194
Phone (716) 835-2966
565 Abbott Rd
Buffalo, NY 14220-2039
Phone (716) 837-2400
Hospital & facility affiliations
- Mercy Hospital of Buffalo
- Kenmore Mercy Hospital
- Sisters of Charity Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027119-01 | NY | MD | Occupational Therapist |
| 027119 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Wny PC | Current | Accepting new patients |
Locations
144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690
3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Buffalo, NY
- NPI 1295043149
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Vascular Surgery Physician
- Buffalo, NY
- NPI 1205468055
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenmore, NY
- NPI 1770598104
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1164464921
-
- General Acute Care Hospital
- Cheektowaga, NY
- NPI 1043455199
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1861069213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10845 UTLEY AVE",
"city": "CONNEAUT LAKE",
"state": "PA",
"postal_code": "163162949",
"telephone_number": "716-515-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-447-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEAN",
"first_name": "ADAM",
"middle_name": "DAVID",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-04",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NY",
"license": "027119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.