Individual provider Active NPI

Lawrence Andrew Shedwick Jr., PA-C

  • Medical Physician Assistant
  • New Castle, PA
National Provider Identifier
1942370366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003429L Issued in PA
Practice address
2602 Wilmington Rd
Suite 204
New Castle, PA 16105-1537
Phone
(724) 657-5285
Fax
(724) 657-6714
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA003429L PA Primary

Addresses

Primary practice location

2602 Wilmington Rd
Suite 204
New Castle, PA 16105-1537

Mailing address

100 Sterrett St
Pittsburgh, PA 15205-3234
Phone (412) 922-3472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070718000425 PA Practitioner - Physician Assistant 0042311268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates PC Past Accepting new patients
Associated Medical Consultants, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942370366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STERRETT ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152053234",
            "telephone_number": "412-922-3472",
            "fax_number": "724-657-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WILMINGTON RD",
            "address_2": "SUITE 204",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161051537",
            "telephone_number": "724-657-5285",
            "fax_number": "724-657-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDWICK",
        "first_name": "LAWRENCE",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003429L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.