NPIMap

Individual provider Active NPI

Shannon Clontz, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1043042161
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065646 Issued in PA
Practice address
5230 Centre Ave
Pittsburgh, PA 15232-1304
Phone
(412) 623-2121
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065646 PA Primary

Addresses

Primary practice location

5230 Centre Ave
Pittsburgh, PA 15232-1304

Mailing address

300 Heinz St Apt C208
Pittsburgh, PA 15212-5967
Phone (724) 650-8134

Other practice location 1

5115 Centre Ave
Pittsburgh, PA 15232-1301
Phone (412) 647-2811

Other practice location 2

300 Halket St
Pittsburgh, PA 15213-3108
Phone (412) 641-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241021001561 PA Practitioner - Physician Assistant 4880126424 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

5115 Centre Ave
FL 3
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

5230 Centre Ave
Pittsburgh, PA 15232-1304

Hospital & facility affiliations

  • Upmc Presbyterian Shadyside Hospital, Pittsburgh, PA, CCN 390164
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Association CurrentSince Sep 3, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 3, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Sep 3, 2024 Accepting new patients

Locations

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

5115 Centre Ave
Pittsburgh, PA 15232
Phone (412) 235-1020

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1043042161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEINZ ST APT C208",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125967",
            "telephone_number": "724-650-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321304",
            "telephone_number": "412-623-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 Centre Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152321301",
            "country_code": "US",
            "telephone_number": "412-647-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Halket St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133108",
            "country_code": "US",
            "telephone_number": "412-641-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLONTZ",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.