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.
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)