Shannan Elizabeth McCann, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

R7063 Issued in TX

Practice address

21727 Ih-10 West
2ND Floor, Suite 202
San Antonio, TX 78257

Phone

(210) 829-5180

NPI assigned

Nov 10, 2005

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

East Tennessee State University Quillen College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cibolo Creek Dermatology GroupGroup PAC ID 8022371988, 2 clinicians

Texas Skin and Vein PLLCGroup PAC ID 8628403243, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Cibolo Creek Dermatology Group

  • Dermatology Physician
  • Boerne, TX
  • NPI 1083118111
  Medicare reassignment Care Compare group NPD
• Texas Dermatology and Laser Specialists PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1053653949
  Medicare reassignment NPD
• Texas Skin & Vein, PLLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1669035408
  Care Compare group
• Daniel J Ladd DO PA

  dba Tru-Skin Dermatology

  • Dermatology Physician
  • Austin, TX
  • NPI 1326238296
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1710968227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OAKWELL CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183128",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21727 IH-10 WEST",
            "address_2": "2ND FLOOR, SUITE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-829-5180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Oakwell Ct",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183128",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8019 S New Braunfels Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782351069",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3349 S Highway 181 Ste 6",
            "address_purpose": "LOCATION",
            "city": "Kenedy",
            "state": "TX",
            "postal_code": "781195247",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1763 Medical Way",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325414",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "SHANNAN",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R7063",
            "primary": true
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "R7063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald C McCann, PH.D.
• Georgia Anne-Lee McCann, MD
• Molly McCann, LPC-S
• Sarah McCann, M.ED
• Sarah Allison McCann
• Jeffrey Michael McCardle
• Jerod James McCarrell, DO
• Gregory Duncan McCarroll, M.D.
• Karis M McCarroll, MD PA
• Ellen McCarthy

• Dermatology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.