Individual
JAMES C. SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7850
(570) 808-7855
Mailing address
100 N ACADEMY AVE STE 250, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD064263L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000095705
THREE RIVERS
PA
05
—
0016884000001
—
PA
01
—
01688400
GATEWAY
PA
01
—
0692016000
INDEP. BLUE CROSS
PA
01
—
0975824
KHP CENTRAL
PA
01
—
1074864
KEYSTONE MERCY
PA
01
—
975824
HIGHMARK
PA
Enumeration date
10/13/2005
Last updated
08/12/2021
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