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

Individual provider Physician Assistant · NPI 1215610191

Shane Colin Ciucci, PA-C is a Physician Assistant in Charleston, West Virginia. Qualified in 2025, 1 year ago. Practices with Charleston Area Medical Center Inc, a 968-clinician group, works from 5 locations and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
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

501 Morris St
Charleston, WV 25301
Phone: (304) 388-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 800 Pennsylvania Avenue, Charleston, WV 25302 — (304) 388-5432
  • 3200 Maccorkle Avenue, Se, Charleston, WV 25304 — (304) 388-5432
  • 1540 Spring Valley Dr, Huntington, WV 25704-9501 — (304) 691-1700
  • 1400 Hospital Drive, Hurricane, WV 25526 — (304) 757-1700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215610191
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 8, 2023
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Charleston Area Medical Center Inc — 968 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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