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

Individual provider Physician Assistant · NPI 1730374414

Shannyn Waldron, PA-C is a Physician Assistant in South Portland, Maine. Qualified in 2007, 19 years ago. Practices with York Hospital, a 206-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Maine.

Years since qualifying
19
Licensed in
MA, ME
In the registry since
2007
Specialties on file
2
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

100 Foden Rd E Ste 100
South Portland, ME 04106
Phone: (207) 523-3700
Fax: (207) 523-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1539 (ME)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2349 (MA)

Record details

NPI number1730374414
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 6, 2007
Last updated in NPPESSeptember 8, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice York Hospital — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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