Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maynard A. Shumway, PA-C

Individual provider Surgical Physician Assistant · NPI 1205860798

Maynard A. Shumway, PA-C is a Surgical Physician Assistant in Utica, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

110 Lomond Ct
Utica, NY 13502-5950
Phone: (315) 292-1264
Fax: (315) 266-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 001412 (NY)

Record details

NPI number1205860798
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESJuly 23, 2014

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