MR. LAWRENCE ANDREW SHEDWICK PA-C NPI 1942370366

NPI Information

NPI: 1942370366
Provider Name: MR. LAWRENCE ANDREW SHEDWICK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

CLIA Number: 39D0861612

Address:
2602 WILMINGTON RD
SUITE 204
NEW CASTLE, PA
ZIP 16105
Phone: (724) 657-5285
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MR. Lawrence Andrew Shedwick, PA-C is a medical physician assistant in New Castle, PA with 24 years of experience. MR. Lawrence Andrew Shedwick, PA-C NPI is 1942370366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2602 WILMINGTON RD
SUITE 204
NEW CASTLE, PA
ZIP 16105-537
Phone: (724) 657-5285
Fax: (724) 657-6714

The NPI 1942370366 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 CLIA number assigned to this NPI record is 39D0861612 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2006 and was last updated on 7/8/2007.

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	363AM0700X	Physician Assistant	Medical	MA003429L	PENNSYLVANIA	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	055400	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

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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