Individual provider · Type 1 NPI

Matthew Stephen Shute, PA

Physician Assistant · Fayetteville, NY

NPI number 1639198526 Active

Practice location

4000 Medical Center Drive Suite 104
Fayetteville, NY 13066-6635

Call (315) 663-0059 Map

Fax (315) 663-0123

Mailing address

5112 West Taft Road, Suite L
Liverpool, NY 13088

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X011106 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1639198526

Matthew Stephen Shute, PA's National Provider Identifier is 1639198526, issued on Jul 19, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fayetteville, NY. The record was last updated on May 8, 2023.