SHELBY HANNAH KAMINSKY PA-C NPI 1336798503

NPI Information

NPI: 1336798503
Provider Name: SHELBY HANNAH KAMINSKY, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1609 PASADENA AVE S STE 3M
SOUTH PASADENA, FL
ZIP 33707
Phone: (727) 289-7137
Get Directions

Shelby Hannah Kaminsky, PA-C is a surgical physician assistant in South Pasadena, FL with 5 years of experience. Shelby Hannah Kaminsky, PA-C NPI is 1336798503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1609 PASADENA AVE S STE 3M
SOUTH PASADENA, FL
ZIP 33707-563
Phone: (727) 289-7137

The NPI 1336798503 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), Power Mobility Devices.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 9/10/2019.

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	363A00000X	Physician Assistant		9112443	FLORIDA	No
2	363AM0700X	Physician Assistant	Medical	9112443	FLORIDA	No
3	363AS0400X	Physician Assistant	Surgical	9112443	FLORIDA	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	9112443	OTHER	FLORIDA	FLORIDA DEPARTMENT OF HEALTH
2	1165482	OTHER		NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

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: 4/28/2024

NPI Synchronization or Removal

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