Individual provider Active NPI

Shannon H McGranahan, MD

  • Obstetrics & Gynecology Physician
  • MC Murray, PA
National Provider Identifier
1346220167
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD071066L Issued in PA
Practice address
3928 Washington Rd
Suite 230
MC Murray, PA 15317-2537
Phone
(724) 941-1866
Fax
(724) 941-1647
NPI assigned
Jan 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD071066L PA Primary

Addresses

Primary practice location

3928 Washington Rd
Suite 230
MC Murray, PA 15317-2537

Mailing address

3928 Washington Rd
Suite 230
MC Murray, PA 15317-2537
Phone (724) 941-1866

Other identifiers 1

IdentifierTypeStateIssuer
0018130800006MedicaidPA

Other names 1

  • Shannon Hendrick Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD071066LPAMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1346220167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 WASHINGTON RD",
            "address_2": "SUITE 230",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172537",
            "telephone_number": "724-941-1866",
            "fax_number": "724-941-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 WASHINGTON RD",
            "address_2": "SUITE 230",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172537",
            "telephone_number": "724-941-1866",
            "fax_number": "724-941-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRANAHAN",
        "first_name": "SHANNON",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD071066L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018130800006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "HENDRICK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.