SHANE BALA CST/CSFA
NPI 1831878131
Physician Assistant - Surgical in Clearwater, FL

Active since July 13, 2023
29253 US HIGHWAY 19 N, CLEARWATER, FL 33761(727) 313-4764(727) 313-4764 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shane Bala Cst/csfa NPPES

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

SHANE BALA CST/CSFA (NPI 1831878131) is an individual surgical provider in Clearwater, Florida, licensed in (215126) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1831878131
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSHANE BALACredential: CST/CSFA
Location Address29253 US HIGHWAY 19 NClearwater, FL 33761-2102
Mailing Address29253 Us Highway 19 NClearwater, FL 33761-2102 · (727) 313-4764 · Fax (727) 313-4764
Fax(727) 313-4764
Sole ProprietorYes
Enumeration DateJuly 13, 2023
NPPES CertifiedJuly 13, 2023
NPI 1831878131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed · 215126
29253 US HIGHWAY 19 N, Clearwater, FL 33761

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.

Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Physician Assistant (Surgical)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Technologist)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761
Specialist/Technologist, Other (Surgical Assistant)
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831878131, enumerated as an "individual" on July 13, 2023.

The provider is located at 29253 US HIGHWAY 19 N CLEARWATER, FL 33761 and the phone number is (727) 313-4764.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.