MISS SHAYLYN KATHLEEN MCTEAGUE D.P.M NPI 1083046833

NPI Information

NPI: 1083046833
Provider Name: MISS SHAYLYN KATHLEEN MCTEAGUE, D.P.M
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: PRIME HEALTHCARE SERVICES LANDMARK LLC

PECOS Registration: Yes

Address:
20 CUMBERLAND HILL RD UNIT 210
WOONSOCKET, RI
ZIP 02895
Phone: (401) 356-4262
Get Directions

MISS Shaylyn Kathleen Mcteague, D.P.M is a foot and ankle surgery podiatrist in Woonsocket, RI with 11 years of experience. MISS Shaylyn Kathleen Mcteague, D.P.M NPI is 1083046833. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2013

The provider's business location address is:

20 CUMBERLAND HILL RD UNIT 210
WOONSOCKET, RI
ZIP 02895
Phone: (401) 356-4262
Fax: (401) 356-4369

The NPI 1083046833 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/4/2013 and was last updated on 8/15/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	P89597	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1083046833	MEDICAID	RHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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