Shane Wriston, PA-C
Shane Wriston, PA-C is a Physician Assistant in Ivydale, West Virginia. Qualified in 2013, 13 years ago. Practices with Community Care of West Virginia, Inc, a 87-clinician group and accepts Medicare assignment. Licensed in West Virginia.
- Years since qualifying
- 13
- Licensed in
- WV
- In the registry since
- 2014
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
797 Clinic DrIvydale, WV 25113-8263
Phone: (304) 286-4200
Fax: (304) 286-2107
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 01845 (WV) |
|---|
Record details
| NPI number | 1609277201 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 15, 2014 |
| Last updated in NPPES | August 31, 2022 |
| Certification date | August 31, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Community Care Of West Virginia, Inc. — 87 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |