Shane Evander Martin
Shane Evander Martin is a Physician Assistant in West Coxsackie, New York. Qualified in 2022, 4 years ago. Practices with Albany Medical College, a 1,057-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
Practice location Address checks out
11835 Rt 9WWest Coxsackie, NY 12192-3605
Phone: (518) 264-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urgent Care Clinic/Center (primary) | Taxonomy 261QU0200X |
|---|
Record details
| NPI number | 1043949175 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 6, 2022 |
| Last updated in NPPES | March 8, 2023 |
| Certification date | March 8, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Albany Medical College — 1057 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |