Individual provider · Type 1 NPI

Tanner James Shea, PA-C

Surgical Physician Assistant · Elkhorn, NE

NPI number 1942906383 Active

Practice location

222 N 192nd St
Elkhorn, NE 68022-5363

Call (402) 390-4111 Map

Fax (402) 390-4115

Mailing address

8005 Farnam Dr Ste 305
Omaha, NE 68114-3426

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2803 (NE)
Physician Assistant 363A00000X2803 (NE)

Surgical Physician Assistant: Definition to come...

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About NPI 1942906383

Tanner James Shea, PA-C's National Provider Identifier is 1942906383, issued on Feb 7, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elkhorn, NE. The record was last updated on Oct 30, 2025.