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

Individual provider Physician Assistant · NPI 1396425427

Shane McNamara Gazzo, PA-C is a Physician Assistant in Newport, Rhode Island. Qualified in 2023, 3 years ago. Practices with East Bay Community Action Program, a 36-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
3
Licensed in
RI
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

6 John H Chafee Blvd
Newport, RI 02840-1034
Phone: (401) 848-2160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Old County Rd, Barrington, RI 02806-1600 — (401) 431-9870
  • 684 Warren Ave, East Providence, RI 02914-1405 — (401) 434-0022

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01603 (RI)

Record details

NPI number1396425427
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice East Bay Community Action Program — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Newport