MR. SHANE HENRY DUDA (NPI# 1609248046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609248046 |
Entity Type | Individual |
Full Name | MR. SHANE HENRY DUDA |
Credential | PA-C |
Practice Address |
740 E State St Sharon PA 16146-3328 |
Mailing Address |
12610 Hill Rd Wattsburg PA 16442-1318 |
Practice Telephone | 7249833911 |
Mailing Telephone | 8145664350 |
Enumeration Date | 2015-10-26 |
Last Update Date | 2016-01-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004537 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA057965 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
740 E STATE ST |
City | SHARON |
State | PA |
Zip Code | 16146-3328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164414181 | Gary Charles Marrone | Surgery | 740 E State St, Cardiothoracic Surgical Specialists Srhs, Sharon, PA 16146-3328 | 2005-08-16 |
1255971974 | Steward Radiology Physicians of Pennsylvania Inc | Radiology | 740 E State St, Sharon, PA 16146-3328 | 2020-01-10 |
1740826981 | Christine Michelle Thompkins | Counselor | 740 E State St, Sharon, PA 16146-3328 | 2019-11-22 |
1104479427 | Steward Anesthesiology Physicians of Pennsylvania, Inc. | Anesthesiology | 740 E State St, Sharon, PA 16146-3328 | 2019-07-17 |
1134682628 | Tammy Dawson | Nurse Practitioner | 740 E State St, Sharon, PA 16146-3328 | 2019-04-10 |
1477017630 | Nicole Marie Odem | Physician Assistant | 740 E State St, Sharon, PA 16146-3328 | 2019-01-22 |
1770052573 | Megan Diantha Resele | Nurse Practitioner | 740 E State St, Sharon, PA 16146-3328 | 2018-11-21 |
1962927483 | Usacs Integrated Acute Care Services of Pennsylvania, Ltd. | Internal Medicine | 740 E State St, Sharon, PA 16146-3328 | 2017-08-05 |
1790219616 | Steward Sharon Regional Health System, Inc. | General Acute Care Hospital | 740 E State St, Sharon, PA 16146-3328 | 2017-04-18 |
1336673250 | Steward Sharon Regional Health System, Inc. | Rehabilitation Unit | 740 E State St, Sharon, PA 16146-3328 | 2017-04-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169217 | Sharmayne Bolling | Counselor | 272 East Connelly Blvd, Sharon, PA 16146 | 2020-09-17 |
1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
1184150898 | Karthik Yarlagadda | Student in an Organized Health Care Education/Training Program | 740 East State Street, Sharon, PA 16146 | 2017-05-02 |
1821498437 | Catherine Herald Mcsherry | Pharmacist | 60 S. Water Ave, Sharon, PA 16146 | 2014-09-02 |
1447529417 | Brenda Ann Bacich | Counselor | 1 Dayton Way, Sharon, PA 16146 | 2011-12-21 |
1720363518 | Mark David Alexander | Pharmacist | 900 East State Street, Sharon, PA 16146 | 2011-10-12 |
1477796027 | Sharon Regional Health System | General Acute Care Hospital | 699 East State Street, Sharon, PA 16146 | 2009-04-13 |
1225217276 | My Urban Clinic, Inc | Clinic/Center | 1020 East Stale St, Sharon, PA 16146 | 2007-10-26 |
1174683395 | Associates In Counseling and Child Guidance Inc | Counselor | 272 East Connelly Blvd., Sharon, PA 16146 | 2006-12-11 |
1558436071 | Helping Hands Pediatrics, Inc. | Pediatrics | 585 E. State St., Sharon, PA 16146 | 2006-11-21 |
Find all providers in zip 16146 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356693501 | Susan Gemma | Physician Assistant | 22 Horizons Rd, Sharon, MA 02067-2764 | 2012-10-12 |
1831242155 | The Sharon Clinic, Pllc | Physician Assistant | 5320 Us Highway 45, Sharon, TN 38255-4064 | 2007-01-19 |
1447633706 | Raymond Johnson | Physician Assistant | 585 E State St, Sharon, PA 16146-2004 | 2015-07-06 |
1588998892 | Sharon Emergency Group PC | Physician Assistant | 740 E State St, Sharon, PA 16146-3328 | 2009-09-21 |
1144364068 | Carolyn Gerard Chiodo | Physician Assistant | 740 E State St, Sharon, PA 16146-3328 | 2007-02-16 |
1275560856 | Sharon Emergency Medicine PC | Physician Assistant | 50 Hospital Hill Drive, Er Department, Sharon, CT 06069 | 2006-06-27 |
1104804707 | Anne Zajac | Physician Assistant | 740 E State St, Sharon, PA 16146-3328 | 2006-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355341 | Julia Majewicz Wilson | Physician Assistant | 111 Pa-715, #102, Brodheadsville, PA 18322 | 2020-10-29 |
1417557273 | Jared Michael Yon | Physician Assistant | 902 Dale Ave, Bradfordwoods, PA 15015-1236 | 2020-10-29 |
1295335230 | Jillian Ann Korgeski | Physician Assistant | 400 Corner St, Dunmore, PA 18512-2348 | 2020-10-29 |
1821697376 | Sidney Patel | Physician Assistant | 1834 Oregon Pike Ste 20, Lancaster, PA 17601-6463 | 2020-10-25 |
1629677356 | Jason Christopher Takacs Jr. | Physician Assistant | 510 Stockton Rdg, Cranberry Township, PA 16066-2280 | 2020-10-23 |
1467051763 | Molly Catherine Peters | Physician Assistant | 4338 Boone St, Philadelphia, PA 19128-4901 | 2020-10-19 |
1508465840 | Tran Quyen Tran | Physician Assistant | 2941 Hillside Rd, Broomall, PA 19008-1304 | 2020-10-19 |
1275132656 | Jessica Haley Stecklein | Physician Assistant | 696 Fir Ave, Langhorne, PA 19047-5450 | 2020-10-18 |
1083212625 | Kele Ferreira | Physician Assistant | 1201 Sandhill Rd, Lebanon, PA 17046-1943 | 2020-10-15 |
1386251619 | Nicholas James Lazorka | Physician Assistant | 195 Chapmans Round Top Rd, Montoursville, PA 17754-7508 | 2020-09-30 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.