Anna U Severin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00266 Issued in OR

Practice address

1000 SE Uglow Ave
Dallas, OR 97338-2645

Phone

(503) 623-8376

Fax

(503) 623-5293

NPI assigned

Apr 10, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• WVP Medical Group, LLC

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1922583616
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266278400000",
    "number": "1336102201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 S WATER ST",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973812427",
            "telephone_number": "503-873-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SE UGLOW AVE",
            "city": "DALLAS",
            "state": "OR",
            "postal_code": "973382645",
            "telephone_number": "503-623-8376",
            "fax_number": "503-623-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEVERIN",
        "first_name": "ANNA",
        "middle_name": "U",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2010-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231084",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara J Schram, BA
• Harry Bret Schumilas, MD
• Jessica Irene Scovell, LMT
• Michael Joseph Sedlock, NA
• Julie Segura, PT
• Ishani Shah
• Linda Leann Shannon, LCSW
• Faith Renee Shinn, FNP-C
• Rachel Nicole Shultz, QMHA 2, CADC 2
• Hollie Louise Simes, APRN

• Physician Assistant in Dallas, OR
• Providers in Dallas, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.