Mr. Shane T Reilly, PA-C
Physician Assistant in South Weymouth, Massachusetts
1972010429- Practice location
- 55 Fogg RD, South Weymouth, MA 02190-2455
- Phone
- 781-624-8000
- Fax
- —
- Last updated
- May 22, 2023
Shane Thomas Reilly is a Physician Assistant based in South Weymouth, MA. Shane Thomas Reilly practices in South Weymouth, MA and has the professional credentials of PA-C. The NPI Number for Shane Thomas Reilly is 1972010429. The current practice location address for Shane Thomas Reilly is 55 Fogg RD, South Weymouth, MA 02190-2455 and can be reached out via phone at 781-624-8000.
Provider Profile Details
- NPI Number
- 1972010429
- Provider Name
- Shane Thomas Reilly
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Fogg RD, South Weymouth, MA 02190-2455
- Phone Number
- 781-624-8000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 5, 2018
- Last Update Date
- May 22, 2023
- Certification Date
- May 22, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Fogg RD
South Weymouth, MA 02190-2455 - City
- South Weymouth
- State
- Massachusetts
- Zip
- 02190-2455
- Phone Number
- 781-624-8000
Provider Business Mailing Address Details
- Address
- 55 Fogg RD
South Weymouth, MA 02190-2455 - City
- South Weymouth
- State
- MA
- Zip
- 02190-2455
- Phone Number
- 781-624-8000
License Information
- 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. | |||
Other Physician Assistants near South Weymouth, MA
View all Physician Assistants in South Weymouth →Frequently Asked Questions
What is the NPI number of Mr. Shane T Reilly, PA-C?
The NPI number of Mr. Shane T Reilly, PA-C is 1972010429. It was assigned on January 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Mr. Shane T Reilly, PA-C?
Mr. Shane T Reilly, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Mr. Shane T Reilly, PA-C practice?
The practice location is 55 Fogg RD, South Weymouth, MA 02190-2455. The office can be reached at 781-624-8000 (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 1972010429 directly on the NPPES registry website.