KENNETH SCOTT SHEDAROWICH PA-C
NPI 1134257553
Physician Assistant in Pinehurst, NC

Q: What is Kenneth Shedarowich's NPI number?

The NPI number for Kenneth Shedarowich is 1134257553. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Kenneth Shedarowich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 28, 2007

155 MEMORIAL DR, PINEHURST, NC 28374(910) 715-2164(910) 715-1926 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth Scott Shedarowich Pa-c NPPES

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

KENNETH SCOTT SHEDAROWICH PA-C (NPI 1134257553) is an individual physician assistant in Pinehurst, North Carolina and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1134257553

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameKENNETH SCOTT SHEDAROWICHCredential: PA-C

Location Address155 MEMORIAL DRPinehurst, NC 28374-8710

Mailing AddressPo Box 8500Pinehurst, NC 28374-8500 · (910) 715-2164 · Fax (910) 715-1926

Phone(910) 715-2164

Fax(910) 715-1926

Sole ProprietorYes

Enumeration DateFebruary 28, 2007

Last NPPES UpdateJune 10, 2015

✔ NPI 1134257553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA13309 (CA)

155 MEMORIAL DR, Pinehurst, NC 28374

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Other Providers at the Same Location NPPES 20

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

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