Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE SCAVELLO, PA
ActiveSHANE SCAVELLO, PA is a Surgical Physician Assistant healthcare provider located in CONCORD, Massachusetts. NPI 1205437498 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · CONCORD, MA
Registration Details
- NPI Number
- 1205437498
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2020 (5.7627840203749 yrs)
- Last Updated
- Dec 28, 2022
- License
-
PA01516 (RI)
Practice Information
- Address
-
133 OLD ROAD TO 9 ACRE CORCONCORD, MA, 017424159Browse MA providers · Browse ZIP 01742
- Phone
- 9783691400
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in CONCORD, MA
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLY FITZGERALD I | — | 1750320586 |
| LEBRON A SAULTER | PA-C | 1730421348 |
| JAYE L FINN | PA | 1043837917 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.