Provider Demographics
NPI:1750568374
Name:SHEMENSKI, AARON J (DPM)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:SHEMENSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6157
Mailing Address - Country:US
Mailing Address - Phone:401-305-5088
Mailing Address - Fax:401-305-3816
Practice Address - Street 1:333 SCHOOL ST
Practice Address - Street 2:SUITE 102
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5334
Practice Address - Country:US
Practice Address - Phone:401-724-7722
Practice Address - Fax:401-724-7750
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILPR00069213E00000X
RIDPM00325213ES0103X
MA2348213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist