Shana Ann Davidson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA051452 Issued in PA

Practice address

240 W 11TH St
2ND Floor
Erie, PA 16501-1702

Phone

(814) 452-2218

Fax

(814) 452-4639

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shana Ann Nelson Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Metabolic Disease Associates, Inc.Group PAC ID 5799686614, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Vincent Hospital Hospital, Erie, PA, CCN 390009
• Warren General Hospital Hospital, Warren, PA, CCN 391319

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Metabolic Disease Associates, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Erie, PA
  • NPI 1639119142
  Medicare reassignment Care Compare group

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

• Saint Vincent Health Center

  • General Acute Care Hospital
  • Erie, PA
  • NPI 1861435042
  Care Compare affiliation
• Warren General Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Warren, PA
  • NPI 1376497362
  Care Compare affiliation
• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701

  Hospital

  Care Compare affiliation
• Warren General Hospital

  • General Acute Care Hospital
  • Warren, PA
  • NPI 1659360220
  Care Compare affiliation

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1104887918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011702",
            "telephone_number": "814-452-2218",
            "fax_number": "814-452-4639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 11TH ST",
            "address_2": "2ND FLOOR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011702",
            "telephone_number": "814-452-2218",
            "fax_number": "814-452-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "SHANA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "NELSON",
            "middle_name": "ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Almeida MD Mba PHD Professional Services PLLC
• David F. Dieteman, MD, Inc.
• David Potoker
• Cory Bennett Davidson, PA-C
• Debbe Renee Davidson, MS, NCC, LPC
• Catherine Davis
• Jennifer E Davis, MS, OTR/L
• Tara B Davis, LPC
• Theodora Lacy Davis
• Maria W Davison, MD

• Medical Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.