Shadoe M Daniels, MPAS, PA-C
Shadoe M Daniels, MPAS, PA-C is a Physician Assistant in Callicoon, New York. Qualified in 2019, 7 years ago. Practices with Cooperstown Medical Center, a 12-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Dakota, New York and Pennsylvania.
- Years since qualifying
- 7
- Licensed in
- ND, NY, PA
- In the registry since
- 2019
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
8881 NY-97Callicoon, NY 12723
Phone: (845) 333-6800
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (4)
- 107 12th St S, Cooperstown, ND 58425-4501 — (701) 786-1700
- 707 E Main St, Middletown, NY 10940-2650 — (845) 333-1000
- 68 Harris Bushville Rd, Monticello, NY 12701-3027 — (845) 794-3300
- 575 N River St, Wilkes Barre, PA 18702-2634 — (570) 829-8111
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 024896 (NY) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PAC0965 (ND) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence MA060726 (PA) |
Record details
| NPI number | 1215596317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MPAS , PA-C |
| Sole proprietor | No |
| NPI enumerated | June 12, 2019 |
| Last updated in NPPES | August 29, 2024 |
| Certification date | August 29, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Cooperstown Medical Center — 12 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |