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

Last updated

Feb 16, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• WVP Medical Group, LLC

  dba Clinical Support Providers

  • 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": [],
    "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.