Ann Shallcross, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-023756-E Issued in PA

Practice address

450 Student Health Center
University Park, PA 16802

Phone

(814) 863-8873

Fax

(814) 863-8464

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• The Pennsylvania State University

  dba University Health Services

  • Family Medicine Physician
  • University Park, PA
  • NPI 1316063126
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1730207176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STUDENT HEALTH CENTER",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-863-8873",
            "fax_number": "814-863-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STUDENT HEALTH CENTER",
            "city": "UNIVERSITY PARK",
            "state": "PA",
            "postal_code": "16802",
            "telephone_number": "814-863-8873",
            "fax_number": "814-863-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLCROSS",
        "first_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-023756-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "SH26213",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Salazer, ATC
• Madeleine Scaramuzzo, MS, ATC, LAT, PES
• Ashley Lyn Schrag, LPC
• Janea E. Schreckengost, PA-C
• Elizabeth Serpas
• Ethan John Shaw, LPN
• Heather A Shevchik O'Brien, PA-C
• Linda Schmalstieg Shorey, CRNP
• Arizona Shreck
• Kimberly Shuey, LPN

• Family Medicine Physician in University Park, PA
• Providers in University Park, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.