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.
| 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 |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331310 | ELLENVILLE REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 Healthy Way, Ellenville, NY 12428-5612 | 8456476400 | ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC |
| Organization Legal Name | ELLENVILLE EMERGENCY MEDICAL ASSOCIATES PLLC |
| Physicians | 4 |
| 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 |
| Street Address |
10 HEALTHY WAY |
| City | ELLENVILLE |
| State | NY |
| Zip | 12428-5612 |
| 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 | |||
| 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 | |||
| City | ELLENVILLE |
| Zip Code | 12428 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ELLENVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Shane M Wible.
| 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.