MR. SHAWN WAUGH PA -L
NPI 1124167457
Physician Assistant - Medical in Lake City, FL

Q: What is Shawn Waugh's NPI number?

The NPI number for Shawn Waugh is 1124167457. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Q: What is Shawn Waugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Waugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 05, 2007

4355 NW AMERICAN LN, LAKE CITY, FL 32055(386) 758-6094(386) 758-6995 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Shawn Waugh Pa -l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHAWN WAUGH PA -L (NPI 1124167457) is an individual medical provider in Lake City, Florida, licensed in Florida (PA 9103422) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1124167457

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. SHAWN WAUGHCredential: PA -L

Location Address4355 NW AMERICAN LNLake City, FL 32055-4828

Mailing Address4355 Nw American LnLake City, FL 32055-4828 · (386) 758-6094 · Fax (386) 758-6995

Phone(386) 758-6094

Fax(386) 758-6995

Sole ProprietorNo

Enumeration DateFebruary 5, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124167457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in FL · PA 9103422

4355 NW AMERICAN LN, Lake City, FL 32055

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Other Identifiers 2

Medicare UPINQ66427FL

Medicare ID-Type UnspecifiedU7165ZFL

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATHOLOGY ASSOCIATES OF NORTH FLORIDA

Clinical Medical Laboratory

4355 NW AMERICAN LN
LAKE CITY, FL 32055

Columbia County (386) 758-6094

DR. MITCHELL DUTERTE MD

Internal Medicine (Gastroenterology)

4355 NW AMERICAN LN
LAKE CITY, FL 32055

Columbia County (386) 758-6094

DR. RIZWANA THANAWALA MD

Internal Medicine (Gastroenterology)

4355 NW AMERICAN LN
LAKE CITY, FL 32055

Columbia County (386) 758-6094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Waugh's NPI number?

The NPI number for Shawn Waugh is 1124167457. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Shawn Waugh located?

Shawn Waugh practices at 4355 NW American Ln, Lake City, FL 32055. The listed phone number is (386) 758-6094.

What is Shawn Waugh's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Shawn Waugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.