Provider Demographics
NPI:1508003039
Name:TOMAINO, MEGAN MCSHEA (PA-C)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MCSHEA
Last Name:TOMAINO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:ELIZABETH
Other - Last Name:MCSHEA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9104 BABCOCK BLVD
Mailing Address - Street 2:STE 5113
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237
Mailing Address - Country:US
Mailing Address - Phone:877-471-0935
Mailing Address - Fax:412-366-7452
Practice Address - Street 1:9104 BABCOCK BLVD
Practice Address - Street 2:STE 5113
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:877-471-0935
Practice Address - Fax:412-366-7452
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053664363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant