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Active NPI 1942482914 Individual Practitioner Female Practitioner

Shannon M. Widderick , PA-C

Physician Assistant • Northampton, MA

Professional Overview & Biography Verified Profile Summary

Shannon Widderick, PA-C is a registered healthcare professional specializing in Physician Assistant in Northampton, MA. Practice services are available at 395 PLEASANT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

395 Pleasant St

Northampton, MA 010603914

Telephone 4135847787
Fax 4135847778
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Northampton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Northampton, MA (4746 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MA PA2360

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CT 001992

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MA 2360

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003019924 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Denise Kearney , MD

Allergy & Immunology - Allergy

NPI 1134162761

Doctor of Medicine (M.D.)

Marina Goldman , NP

Nurse Practitioner - Obstetrics & Gynecology

NPI 1235441957

Nurse Practitioner

NPI 1316918261

Doctor of Chiropractic

NPI 1538155049

Doctor of Medicine (M.D.)

NPI 1548381544

Physician Assistant (Certified), Doctor of Naturopathic Medicine, MSOM, Master of Science

Michelle Goulet , FNP

Nurse Practitioner - Family

NPI 1609847565

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2013

Registered at 395 PLEASANT ST, NORTHAMPTON, MA 010603914 (Tel: 4135847787)

📍
Updated Business Mailing Address January 02, 2013

Registered at 395 PLEASANT ST, NORTHAMPTON, MA 010603914 (Tel: 4135847787)

👤
Provider Name / Credentials Updated January 02, 2013

Recorded as SHANNON WIDDERICK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Physician Assistant (License #PA2360 in MA)

🟢
Initial NPI Registration & Enumeration December 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942482914
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 03, 2007
Last Update: January 02, 2013
Sole Proprietor: No

Mailing Address

395 Pleasant St

Northampton, MA 010603914

Phone: 4135847787

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.