National Provider Identifier
Adam David Shean, PA-C
Adam David Shean, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 447-6100.
Profile Overview
- NPI
- 1861069213
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 04, 2021
- Last Updated
- August 30, 2021
Practice Location
- 2950 Elmwood Ave
- Buffalo, NY 14217-1304
Phone: (716) 447-6100
Mailing Address
- 10845 Utley Ave
- Conneaut Lake, PA 16316-2949
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1861069213
- Entity Type
- Individual
- Last Name
- Shean
- First Name
- Adam
- Middle Name
- David
- Credential
- PA-C
- Mailing Street Address
- 10845 Utley Ave
- Mailing City
- Conneaut Lake
- Mailing State
- PA
- Mailing ZIP Code
- 16316-2949
- Mailing Country
- US
- Mailing Phone
- (716) 515-8353
- Practice Street Address
- 2950 Elmwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 447-6100
- Enumeration Date
- June 04, 2021
- Last Updated
- August 30, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- August 30, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)