Active NPI
Shannon Marie Masterson, MPAS
- Surgical Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1326516766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- MA060355
- Practice address
- 320 E North Ave Ste 401
Pittsburgh, PA 15212-4756 - Phone
- (412) 359-4352
- Fax
- (412) 359-8285
- NPI assigned
- Nov 4, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA060355 | PA | |
| Surgical Physician Assistant | 363AS0400X | MA060355 | PA | Primary |
Addresses
Primary practice location
320 E North Ave Ste 401
Pittsburgh, PA 15212-4756
Mailing address
320 E North Ave Ste 401
Pittsburgh, PA 15212-4756
Phone (412) 359-4352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103608062 | Medicaid | PA | |
| 14382009 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smasterson199243@direct.ahn.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA060355 | PA | MD | Physician Assistant |
Interoperability endpoints
- smasterson199243@direct.ahn.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1326516766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E NORTH AVE STE 401",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-4352",
"fax_number": "412-359-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E NORTH AVE STE 401",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152124756",
"telephone_number": "412-359-4352",
"fax_number": "412-359-8285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTERSON",
"first_name": "SHANNON",
"middle_name": "MARIE",
"credential": "MPAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-04",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA060355",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA060355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103608062",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14382009",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smasterson199243@direct.ahn.org",
"affiliation": "N",
"address_1": "320 E North Ave Ste 401",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152124756",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.