Ryan S O'Shaughnessy, PA-C
Physician Assistant in Brockton, Massachusetts
1710331095- Practice location
- 680 Centre St, Brockton, MA 02302-3308
- Phone
- 508-941-7400
- Fax
- —
- Last updated
- December 7, 2018
Ryan Shaw O'Shaughnessy is a Physician Assistant based in Brockton, MA. Ryan Shaw O'Shaughnessy practices in Brockton, MA and has the professional credentials of PA-C. The NPI Number for Ryan Shaw O'Shaughnessy is 1710331095 and holds a License No. PA5967 (MA). The current practice location address for Ryan Shaw O'Shaughnessy is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 508-941-7400.
Provider Profile Details
- NPI Number
- 1710331095
- Provider Name
- Ryan Shaw O'Shaughnessy
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 680 Centre St, Brockton, MA 02302-3308
- Phone Number
- 508-941-7400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 22, 2016
- Last Update Date
- December 7, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 508-941-7400
Provider Business Mailing Address Details
- Address
- 21 Indian Hill RD
Medfield, MA 02052-2908 - City
- Medfield
- State
- MA
- Zip
- 02052-2908
License Information
- License Number (1)
- PA5967
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA00874
- License State (2)
- RI
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan S O'Shaughnessy, PA-C?
The NPI number of Ryan S O'Shaughnessy, PA-C is 1710331095. It was assigned on April 22, 2016 and is currently active in the NPPES registry.
What is the specialty of Ryan S O'Shaughnessy, PA-C?
Ryan S O'Shaughnessy, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA5967.
Where does Ryan S O'Shaughnessy, PA-C practice?
The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 508-941-7400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710331095 directly on the NPPES registry website.