Guidan Shi, PA-C
Physician Assistant in Boston, MA. Individual provider (NPI-1).
NPI number1639747280
StatusActive
Last updated in NPPESJun 10, 2021
Details
- NPI
- 1639747280
- Entity type
- Individual (NPI-1)
- Name
- Guidan Shi
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 10, 2021
- Last updated
- Jun 10, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1185165 | MA | Yes |
Practice location
566 Commonwealth Ave Apt 602Boston, MA 02215-2513
Phone 508-367-9107
Mailing address
566 Commonwealth Ave Apt 602Boston, MA 02215-2513
Phone 508-367-9107
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