Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN THOMAS SHUPE, MSPAS, PA-C, RT(R)
ActiveIAN THOMAS SHUPE, MSPAS, PA-C, RT(R) is a Physician Assistant healthcare provider located in MEDFORD, Oregon. NPI 1528632825 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MEDFORD, OR
Registration Details
- NPI Number
- 1528632825
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2021 (5.2565090090131 yrs)
- Last Updated
- May 19, 2021
- Licenses
-
PA.PA.61159625 (WA)PA204375 (OR)
Practice Information
- Address
-
842 E MAIN STMEDFORD, OR, 975047155Browse OR providers · Browse ZIP 97504
- Phone
- 5416185800
- Fax
- 5417793027
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MR. TERRY L JONES | PA C | 1407842636 |
| MS. BRANDEE DANKS | PA | 1437145265 |
| MS. MARY FREERICKS HUEBNER | PA-C | 1568452720 |
| MICHELINE I CAVALLACCI | PA-C | 1235113994 |
| PETER J GRAY | PA-C | 1528037397 |
| MR. GORDON D HART | PA-C | 1801852827 |
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.