Active NPI
Maureen McShane, M.D.
- Family Medicine Physician
- Plattsburgh, NY
National Provider Identifier
1356493365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 182311-1
- Practice address
- 396 Tom Miller Rd
Unit B
Plattsburgh, NY 12901-6430 - Phone
- (151) 832-4554
- Fax
- (206) 984-3043
- NPI assigned
- Jan 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 182311-1 | NY | Primary |
Addresses
Primary practice location
396 Tom Miller Rd
Unit B
Plattsburgh, NY 12901-6430
Mailing address
396 Tom Miller Road
Unit B
Plattsburgh, NY 12901-7704
Phone (151) 832-4554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 16, 2015 through Sep 16, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182311-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1356493365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 TOM MILLER ROAD",
"address_2": "UNIT B",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129017704",
"telephone_number": "151-832-4554",
"fax_number": "206-984-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 TOM MILLER RD",
"address_2": "UNIT B",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129016430",
"telephone_number": "151-832-4554",
"fax_number": "206-984-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCSHANE",
"first_name": "MAUREEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "182311-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.