Shane M Wible
ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC


Address: 10 Healthy Way, Ellenville, NY 12428-5612
Phone: 8456476400

Shane M Wible (NPI# 1013199330, PAC ID# 0648356659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1013199330
PAC ID by PECOS 0648356659
Professional Enrollment ID I20131209001280
Full Name Shane M Wible
Organization Legal Name ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC
Address 10 Healthy Way
Ellenville
NY 12428-5612
Phone Number 8456476400
Gender M
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 9436478658
Number of Group Practice Members 6
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
331310 ELLENVILLE REGIONAL HOSPITAL

Other Locations

Address Phone Organization
10 Healthy Way, Ellenville, NY 12428-5612 8456476400 ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC

Organization Information

Organization Legal Name ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Peter A Evola Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612
David C Williams Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612
David I Michaelson Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612

Office Location

Street Address 10 HEALTHY WAY
City ELLENVILLE
State NY
Zip 12428-5612

Physicians in the same location

Name Specialty Organization Address
Suhil Dhawan Orthopedic Surgery 10 Healthy Way, Ellenville, New York, NY 12428-5612
Jon M Lewis Diagnostic Radiology Hudson Valley Radiologists, PC 10 Healthy Way, Ellenville, NY 12428-5612
Mira G Herman Diagnostic Radiology Hudson Valley Radiologists, PC 10 Healthy Way, Ellenville, NY 12428-5612
Peter A Evola Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612
David C Williams Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612
Sandeep Joshi Cardiovascular Disease (cardiology) Hudson Valley Cardiovascular Practice PC 10 Healthy Way, Ellenville, NY 12428-5612
Ronald Karo Diagnostic Radiology Millennium Medical Imaging PC 10 Healthy Way, Ellenville, NY 12428-5612
David I Michaelson Physician Assistant Ellenville Emergency Medical Associates Pllc 10 Healthy Way, Ellenville, NY 12428-5612
Nancy A Cooper Diagnostic Radiology Hudson Valley Radiologists, PC 10 Healthy Way, Ellenville, NY 12428-5612
Jonathan J Crystal Diagnostic Radiology Hudson Valley Radiologists, PC 10 Healthy Way, Ellenville, NY 12428-5612
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Herbert M Lonstein Chiropractic 1 Terrace Hill, Ellenville, NY 12428
Allise A Marter Chiropractic Craft Chiropractic Associates PC 38 N Main St, Ellenville, NY 12428-1017
Mark R Craft Chiropractic Craft Chiropractic Associates PC 38 N Main St, Ellenville, NY 12428-1017
Devon Mark Craft Family Medicine 38 N Main St, Ellenville, NY 12428-1017
Richard H Craft Chiropractic Craft Chiropractic Associates PC 38 N Main St, Ellenville, NY 12428-1017
Sandi R Hecht-garcia Clinical Social Worker 22 N Main St, Suite 2a, Ellenville, NY 12428-1063
Jay Dinovitser Internal Medicine 29 N Main St, Ellenville, NY 12428-1082
Michael A Masias Podiatry 60 Ctr St, Ellenville, NY 12428-1313
Thomas Henry Kellner Clinical Social Worker Family Services, Inc. 50 Ctr St, Ellenville, NY 12428-1315
Christina M Iler Clinical Social Worker Family Services, Inc. 50 Ctr St, Ellenville, NY 12428-1315
Find all physicians in zip 12428

Competitor

Search similar physicians

City ELLENVILLE
Zip Code 12428
Specialty PHYSICIAN ASSISTANT
City + Specialty ELLENVILLE + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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