Shawna Perry, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA056542 Issued in PA

Practice address

334 Main St
Dickson City, PA 18519-1668

Phone

(570) 307-1767

Fax

(570) 307-1778

NPI assigned

Oct 15, 2013

Last updated

Jan 25, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Dickson City Hospital, Dickson City, PA, CCN 390338

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sperry422229@direct2.lvhn.org

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.

• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• Hazleton Professional Services

  dba Lehigh Valley Physician Group-Hazleton

  • Internal Medicine Physician
  • Hazleton, PA
  • NPI 1952464638
  Medicare reassignment
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  dba LVPG-Mental Health Clinic Muhlenberg

  • Psychiatry Physician
  • Bethlehem, PA
  • NPI 1598909707
  NPD
• Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Allentown, PA
  • NPI 1245209022
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lehigh Valley Hospital- Pocono

  dba Lehigh Valley Hospital - Dickson City

  • General Acute Care Hospital
  • Dickson City, PA
  • NPI 1396402053
  Care Compare affiliation

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1356779086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MAIN ST",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "185191668",
            "telephone_number": "570-307-1767",
            "fax_number": "570-307-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SHAWNA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056542",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA056542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "MA056542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA NUMBER",
            "identifier": "1113405",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric and Adult Therapy Services
• Pediatrics of Nepa, PC
• Pennsylvania CVS Pharmacy LLC (CVS Pharmacy #16806)
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01615)
• Erline Perrier
• Stephanie Katarina Petschauer, PA
• Gina Lee Phillips, SLP
• Megan Phillips, DPT
• Stephanie Pratt
• Taylor Presby, COTA/L

• Medical Physician Assistant in Dickson City, PA
• Providers in Dickson City, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.