1. Home
  2. Directory
  3. Arizona
  4. Davis Monthan Afb
  5. Physician Assistant
  6. NPI Profile

SHANE MICHAEL MIKOLAJEWSKI PA-C
NPI 1962170399
Physician Assistant in Davis Monthan Afb, AZ

Active since August 31, 2021
4175 S ALAMO AVE, DAVIS MONTHAN AFB, AZ 85707(520) 228-2703 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2024, Nov 1, 2022 (2 updates tracked since 2022).

About Shane Michael Mikolajewski Pa-c NPPES

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

SHANE MICHAEL MIKOLAJEWSKI PA-C (NPI 1962170399) is an individual physician assistant in Davis Monthan Afb, Arizona and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1962170399
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSHANE MICHAEL MIKOLAJEWSKICredential: PA-C
Location Address4175 S ALAMO AVEDavis Monthan Afb, AZ 85707-4402
Mailing Address4175 S Alamo AveDavis Monthan Afb, AZ 85707-4402 · (520) 228-2703
Phone(520) 228-2703
Sole ProprietorNo
Enumeration DateAugust 31, 2021
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1962170399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4175 S ALAMO AVE, Davis Monthan Afb, AZ 85707
Open in Google Maps ↗

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.

DR. JACOB MACK DMD
Dentist (General Practice)
4175 S ALAMO AVE
DAVIS MONTHAN AFB, AZ 85707
Pima County (719) 333-5192
NANCY CHRISTY N.P.
Nurse Practitioner (Women's Health)
4175 S ALAMO AVE, BUILDING 400
DM AFB, AZ 85707
Pima County (520) 228-2665
DR. ELIZABETH ROSE PHILLIPS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-4357
MICHELLE MCLOUGHLIN LCSW
Social Worker (Clinical)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2104
DR. ALLAN CURTISS BUSHNELL JR. MD, MSPH
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4175 S ALAMO AVE, DAVIS-MONTHAN AIR FORCE BASE
TUCSON, AZ 85707
Pima County (520) 228-2720
DR. CARL WAYNE DASSE MD
Family Medicine
4175 S ALAMO AVE
DM AFB, AZ 85707
Pima County (520) 228-2600
DR. NICHOLAS ROBERT EINBENDER D.M.D.
Dentist (General Practice)
4175 S ALAMO AVE
TUCSON, AZ 85707
Pima County (520) 228-2778
AMANDA COOK DO
Pediatrics
4175 S ALAMO AVE
DAVIS-MONTHAN AFB, AZ 85707
Pima County (520) 228-2778

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 Shane Mikolajewski's NPI number?

The NPI number for Shane Mikolajewski is 1962170399. It was assigned to this individual provider in the NPPES registry on August 31, 2021.

Where is Shane Mikolajewski located?

Shane Mikolajewski practices at 4175 S Alamo Ave, Davis Monthan Afb, AZ 85707. The listed phone number is (520) 228-2703.

What is Shane Mikolajewski's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Mikolajewski was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.