William Shane McClanahan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2114 Issued in FL

Practice address

1409 Kingsley Ave Ste 14a
Orange Park, FL 32073-4541

Phone

(904) 213-3555

Fax

(904) 272-1222

NPI assigned

Oct 31, 2005

Sex

Male

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

Enrolled in FL

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

University of Florida College of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William V Choisser MD PAGroup PAC ID 5092879700, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• William V Choisser MD PA

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1215909122
  Medicare reassignment Care Compare group
• Apex House Call Doctors LLC

  • Adult Medicine Physician
  • Jacksonville, FL
  • NPI 1841241015
  NPD (past)
• Jayalakshmi Padmanabhan MD, PA

  • Cardiovascular Disease Physician
  • Orange Park, FL
  • NPI 1639388069
  NPD (past)
• Park Medical Center

  • Specialist
  • Orange Park, FL
  • NPI 1629004114
  NPD (past)
• R K Vishen MD P a

  • Internal Medicine Physician
  • Orange Park, FL
  • NPI 1912011511
  NPD (past)
• Welcome Home Housecalls Inc

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1801096797
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1962493932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 14A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734541",
            "telephone_number": "904-213-3555",
            "fax_number": "904-272-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 14A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734541",
            "telephone_number": "904-213-3555",
            "fax_number": "904-272-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "WILLIAM",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291267800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle K McCarty
• Richard A. McCauley, M.D.
• Tyanna McCladdie, DO
• Alvin Michael McClain, R.PH.
• Tiffany McClain
• Michael G. McClendon, LMHC
• Aaron Joseph McClure, D.O.
• Michael Thomas McClure, DMD
• Kelly McComiskey, ATC
• Dee Alexandra McConnell, NP

• Medical Physician Assistant in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.