National Provider Identifier

Shannon Nicole Forlivio, PA-C

Shannon Nicole Forlivio, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 638-8609.

NPI 1316660558Boston, MAPhysician Assistant

Source: public NPPES record, last updated September 15, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1316660558
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 22, 2022
Last Updated
September 15, 2023

Practice Location

  • 1 Boston Medical Ctr Pl # C500
  • Boston, MA 02118-2908

Phone: (617) 638-8609

Mailing Address

  • 960 Massachusetts Avenue
  • Fl 2
  • Boston, MA 02118

Specialties

  • Physician Assistant (363A00000X)

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Biography

Shannon Forlivio, PA-C, is a certified physician assistant in the Department of Surgery at Boston Medical Center, where she works with the Colon and Rectal Surgery team. Her clinical focus includes colorectal surgery, with interests in surgical management and postoperative care for colon cancer, Crohn’s disease, anorectal disease, and other gastrointestinal disorders.

Full Record
NPI
1316660558
Entity Type
Individual
Last Name
Forlivio
First Name
Shannon
Middle Name
Nicole
Name Prefix
Mrs.
Credential
PA-C
Mailing Street Address
960 Massachusetts Avenue
Mailing Address Line 2
Fl 2
Mailing City
Boston
Mailing State
MA
Mailing ZIP Code
02118
Mailing Country
US
Practice Street Address
1 Boston Medical Ctr Pl # C500
Practice City
Boston
Practice State
MA
Practice ZIP Code
02118-2908
Practice Country
US
Practice Phone
(617) 638-8609
Practice Fax
(617) 638-8607
Enumeration Date
September 22, 2022
Last Updated
September 15, 2023
Sex
Female
Sole Proprietor
No
Certification Date
September 15, 2023
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
110192751A (MA)