Individual provider · Type 1 NPI

Shantel Lorraine Riedel Polchlopek, PA-C

Physician Assistant · Philadelphia, PA

NPI number 1780928499 Active

Practice location

3400 Spruce Street, Ground Floor Donner
Philadelphia, PA 19104-4206

Fax (215) 662-3953

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA056851 (PA)

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 1780928499

Shantel Lorraine Riedel Polchlopek, PA-C's National Provider Identifier is 1780928499, issued on Nov 19, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 4, 2026.