Individual provider · Type 1 NPI

Shane Scavello, PA

Surgical Physician Assistant · Warwick, RI

NPI number 1205437498 Active

Practice location

455 Toll Gate Rd
Warwick, RI 02886-2759

Call (401) 737-7010 Map

Fax (401) 738-0013

Other practice locations

  • 101 Dudley St, Providence, RI 02905-2401 · (401) 274-1122

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA01516 (RI)

Surgical Physician Assistant: Definition to come...

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About NPI 1205437498

Shane Scavello, PA's National Provider Identifier is 1205437498, issued on Nov 4, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Warwick, RI. The record was last updated on Oct 23, 2026.