National Provider Identifier
Shannon M Woughter, PA-C
Shannon M Woughter, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 784-2985.
Profile Overview
- NPI
- 1376103416
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 20, 2019
- Last Updated
- August 08, 2023
Practice Location
- 601 Elmwood Ave
- Rochester, NY 14642-0001
Phone: (585) 784-2985
Mailing Address
- 601 Elmwood Ave Box 648
- Rochester, NY 14642-8648
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1376103416
- Entity Type
- Individual
- Last Name
- Woughter
- First Name
- Shannon
- Middle Name
- M
- Name Prefix
- Miss
- Credential
- PA-C
- Provider Other Last Name
- McLaughlin
- Provider Other First Name
- Shannon
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 601 Elmwood Ave Box 648
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8648
- Mailing Country
- US
- Mailing Phone
- (585) 784-2985
- Practice Street Address
- 601 Elmwood Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 784-2985
- Enumeration Date
- June 20, 2019
- Last Updated
- August 08, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)