Shana L McCardle, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW010119 Issued in PA

Practice address

904 Campbell Street
Suite 203
Williamsport, PA 17701

Phone

(570) 327-9900

Fax

(570) 327-9400

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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.

• Williamsport Obstetrics & Gynecology, P.C.

  • Gynecology Physician
  • Williamsport, PA
  • NPI 1033140280
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1356376628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CAMPBELL STREET",
            "address_2": "SUITE 203",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-327-9900",
            "fax_number": "570-327-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CAMPBELL STREET",
            "address_2": "SUITE 203",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "17701",
            "telephone_number": "570-327-9900",
            "fax_number": "570-327-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARDLE",
        "first_name": "SHANA",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9182579",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "PA",
            "license": "MW010119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275914400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert John Mayshock, PA-C
• Frank M Mazzotta, DO
• Cathy McAnelly
• Adrienne Marie McCallister, D.O.
• Tyler McCann
• Kevin McCarthy
• William Craig McCauley, MD
• McClain Orthodontics PLLC
• Erin M McClain, PA-C
• James B McClain, DO

• Midwife in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Midwife in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.