Individual provider Active NPI

Shane Patrick McNamara

  • Hearing Instrument Specialist
  • Scranton, PA
National Provider Identifier
1679233340
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
F02804 Issued in PA
Practice address
1755 N Keyser Ave
Scranton, PA 18508-1215
Phone
(570) 343-1914
NPI assigned
Dec 22, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000002597 NY
Hearing Instrument Specialist 237700000X F02804 PA Primary

Addresses

Primary practice location

1755 N Keyser Ave
Scranton, PA 18508-1215

Mailing address

331 Glenmaura Dr
Moosic, PA 18507-1921
Phone (610) 721-9243

Other practice location 1

253 Rock Hill Dr
Rock Hill, NY 12775-6620
Phone (845) 858-8790

Other practice location 2

312 Reynolds Rd
Johnson City, NY 13790-1308
Phone (607) 797-7272

Other practice location 3

9 North Main Street
Old Forge, PA 18518-1850
Phone (570) 343-1914

Other practice location 4

2515 Route 6 Ste C
Hawley, PA 18428-7050
Phone (705) 226-7500

Other practice location 5

103 Roberts Ln Ste 1B
Milford, PA 18337-7634
Phone (702) 966-2945

Other identifiers 2

IdentifierTypeStateIssuer
1194043109OtherPAORGANIZATIONAL NPI
1679891972OtherNYORGANIZATIONAL NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michele@mhsmiracle.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14000002597NYMDHearing Instrument Specialist
F02804PAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McNamara's Hearing Solutions Past Accepting new patients
McNamara's Hearing Solutions PastSince Dec 26, 2021 Accepting new patients
McNamara's Hearing Solutions LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1679233340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 GLENMAURA DR",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071921",
            "telephone_number": "610-721-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081215",
            "telephone_number": "570-343-1914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "253 Rock Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "NY",
            "postal_code": "127756620",
            "country_code": "US",
            "telephone_number": "845-858-8790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137901308",
            "country_code": "US",
            "telephone_number": "607-797-7272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 North Main Street",
            "address_purpose": "LOCATION",
            "city": "Old Forge",
            "state": "PA",
            "postal_code": "185181850",
            "country_code": "US",
            "telephone_number": "570-343-1914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2515 Route 6 Ste C",
            "address_purpose": "LOCATION",
            "city": "Hawley",
            "state": "PA",
            "postal_code": "184287050",
            "country_code": "US",
            "telephone_number": "705-226-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 Roberts Ln Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "PA",
            "postal_code": "183377634",
            "country_code": "US",
            "telephone_number": "702-966-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "SHANE",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000002597",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "PA",
            "license": "F02804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1194043109",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1679891972",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michele@mhsmiracle.com",
            "affiliation": "N",
            "endpointDescription": "corporate email HIPPA complinant",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Moosic",
            "address_1": "1755 N Keyser Ave",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185081215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.