Tipton, Shane Andrew
Tipton, Shane Andrew is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Physician Assistants & Advanced Practice Nursing Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Tipton, Shane Andrew can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | PA17521 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Emergency | 364SE0003X | PA17521 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 17521 | California |
Profile Details
| NPI number | 1962482877 |
|---|---|
| LBN Legal business name | Tipton, Shane Andrew |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Feb 7th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962482877 | NPPES |
| California | MEDICAID | OPA175210 |
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