Shea Goudreau, PA-C
Physician Assistant in Worcester, Massachusetts
1891299103- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-421-1400
- Fax
- 508-421-1490
- Last updated
- February 18, 2026
Shea Goudreau is a Physician Assistant based in Worcester, MA. Shea Goudreau practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Shea Goudreau is 1891299103 and holds a License No. PA6500 (MA). The current practice location address for Shea Goudreau is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-421-1400 and via fax at 508-421-1490.
Provider Profile Details
- NPI Number
- 1891299103
- Provider Name
- Shea Goudreau
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2018
- Last Update Date
- February 18, 2026
- Certification Date
- February 18, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-421-1400
- Fax Number
- 508-421-1490
Provider Business Mailing Address Details
- Address
- Po Box 415348
Boston, MA 02241-5348 - City
- Boston
- State
- MA
- Zip
- 02241-5348
License Information
- License Number
- PA6500
- License State
- MA
- Taxonomy
- 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 Shea Goudreau, PA-C?
The NPI number of Shea Goudreau, PA-C is 1891299103. It was assigned on March 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Shea Goudreau, PA-C?
Shea Goudreau, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA6500.
Where does Shea Goudreau, PA-C practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-421-1400 (phone) or 508-421-1490 (fax).
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 1891299103 directly on the NPPES registry website.