Provider Demographics
NPI:1528111499
Name:WRIGHT, SHAWN P (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:P
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:495 WATERFRONT DR E
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1140
Mailing Address - Country:US
Mailing Address - Phone:412-326-0330
Mailing Address - Fax:412-326-0338
Practice Address - Street 1:495 WATERFRONT DR E
Practice Address - Street 2:SUITE 200
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1140
Practice Address - Country:US
Practice Address - Phone:412-326-0330
Practice Address - Fax:412-326-0338
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA003141L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32631Medicare UPIN