Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane Henry Duda, PA-C

Individual provider Medical Physician Assistant · NPI 1609248046

Mr. Shane Henry Duda, PA-C is a Physician Assistant in Warren, Ohio. Qualified in 2015, 11 years ago. Practices with Applebaum Physiatry PLLC, a 137-clinician group and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
11
Licensed in
OH, PA
In the registry since
2015
Specialties on file
2
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

627 Eastland Ave SE Ste 102
Warren, OH 44484-4501
Phone: (330) 306-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.004537 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA057965 (PA)

Record details

NPI number1609248046
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2015
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Applebaum Physiatry Pllc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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