Active NPI
Sharon Lindsay Clancy, M.D.
- Plastic Surgery Physician
- La Crescenta, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 2018-02285
- Practice address
- 5230 Briggs Ave
La Crescenta, CA 91214 - Phone
- (818) 275-3758
- NPI assigned
- Aug 28, 2007
- Last updated
- Jun 30, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | A91365 | CA | |
| Plastic Surgery Physician | 208200000X | 2018-02285 | NC | Primary |
Addresses
Primary practice location
5230 Briggs Ave
La Crescenta, CA 91214
Mailing address
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 860-5414
Other practice location 1
3100 Duraleigh Rd Ste 205
Raleigh, NC 27612-8105
Phone (919) 784-7874
Other practice location 2
301 W Huntington Dr
Arcadia, CA 91007-3462
Phone (626) 218-9840
Other practice location 3
1500 Duarte Rd
Duarte, CA 91010-3012
Phone (626) 359-8111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sclancy855366@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- Rutgers New Jersey Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Duraleigh Rd
Suite 203
Raleigh, NC 27612-8105
Phone (919) 784-7874
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91365 | CA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital Inc | Current | Accepting new patients | |
| North Carolina MG, LLC | Current | Accepting new patients | |
| California Cancer Specialists Medical Group Inc | Plastic Surgery | Past | Accepting new patients |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
300 Ashville Ave
Ste 240
Cary, NC 27518
Phone (919) 415-1793
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
3100 Duraleigh Rd
Ste 203
Raleigh, NC 27612
3100 Duraleigh Rd
Ste 205
Raleigh, NC 27612
Phone (919) 238-5001
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- sclancy855366@direct.unc.nchie.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UNC Health North Carolina Heart and Vascular
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1144248683
-
- Anesthesiology Physician
- Duarte, CA
- NPI 1912006636
Plastic Surgery
-
dba North Carolina Heart and Vascular
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 1
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": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1174717649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-860-5414",
"fax_number": "206-720-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 BRIGGS AVE",
"city": "LA CRESCENTA",
"state": "CA",
"postal_code": "91214",
"telephone_number": "818-275-3758"
}
],
"practiceLocations": [
{
"address_1": "3100 Duraleigh Rd Ste 205",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276128105",
"country_code": "US",
"telephone_number": "919-784-7874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W Huntington Dr",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910073462",
"country_code": "US",
"telephone_number": "626-218-9840",
"fax_number": "626-218-9860",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 Duarte Rd",
"address_purpose": "LOCATION",
"city": "Duarte",
"state": "CA",
"postal_code": "910103012",
"country_code": "US",
"telephone_number": "626-359-8111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLANCY",
"first_name": "SHARON",
"middle_name": "LINDSAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "CA",
"license": "A91365",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NC",
"license": "2018-02285",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sclancy855366@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "3100 Duraleigh Rd Ste 205",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276128105",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Crescenta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.