National Provider Identifier

Jeffrey Mark Shevlin, RPA-C

Jeffrey Mark Shevlin, RPA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1396941050Rochester, NYSurgical Physician Assistant

Profile Overview

NPI
1396941050
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
June 21, 2007
Last Updated
January 06, 2020

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3001

Phone: (585) 922-4000

Specialties

  • Surgical Physician Assistant (363AS0400X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1396941050
Entity Type
Individual
Last Name
Shevlin
First Name
Jeffrey
Middle Name
Mark
Name Prefix
Mr.
Credential
RPA-C
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3001
Mailing Country
US
Mailing Phone
(585) 922-4000
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3001
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
June 21, 2007
Last Updated
January 06, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 06, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)