PETER ANDREW SHANNON (NPI# 1891081626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891081626 |
| Entity Type | Individual |
| Full Name | PETER ANDREW SHANNON |
| Credential | P.A.-C. |
| Practice Address |
41424 Ann Arbor Rd E Plymouth MI 48170-8005 |
| Practice Telephone | 7342540700 |
| Mailing Telephone | 9894130862 |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | 5601005978 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164651451 | Peter Thompson Shannon | Counselor | 1400 High St, Suite B, Eugene, OR 97401-4192 | 2009-07-08 |
| Street Address |
41424 ANN ARBOR RD E |
| City | PLYMOUTH |
| State | MI |
| Zip Code | 48170-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598162 | Raymond Joseph Rauen IIi | Physician Assistant | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2020-11-03 |
| 1538777321 | Kristine Marie Schroeder | Physician Assistant | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2020-07-17 |
| 1023528684 | Best Care Pllc | Clinic/Center | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2017-10-09 |
| 1801227871 | Plymouth Urgent Care Pllc | Clinic/Center | 41424 Ann Arbor Rd E, Plymouth, MI 48170-8005 | 2013-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720611734 | Brightside Medical of Michigan, P.C. | Psychiatry & Neurology | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | 2020-02-18 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1003470964 | Smiley Private Homecare LLC | Technician, Pathology | 1098 Ann Arbor Rd #249, Plymouth, MI 48170 | 2019-04-26 |
| 1275003832 | Atsalis Dental Excellence | Dentist | 690 South Main St, Plymouth, MI 48170 | 2018-11-27 |
| 1275003808 | Danielle Cefalo | Speech-Language Pathologist | 801 W. Ann Arbor Trail Suite 220, Plymouth, MI 48170 | 2018-11-27 |
| 1962987966 | Mindful Wellness Counseling, LLC | Social Worker | 9266 Northern Ave, Plymouth, MI 48170 | 2018-09-26 |
| 1972094027 | Plymouth Urgent Care Walk-in Clinic LLC | Clinic/Center | 1498 S Sheldon Rd, Plymouth, MI 48170 | 2018-05-24 |
| 1356843791 | Polaris Pharmacy Services of Michigan, LLC | Pharmacy | 9131 General Court, Plymouth, MI 48170 | 2018-03-01 |
| 1528569787 | Alcona Citizens for Health Inc | Clinic/Center | 101 S Union St Unit 101, Plymouth, MI 48170 | 2018-02-23 |
| 1073029484 | Holly Ann Haase | Technician/Technologist | 650 Church St, Plymouth, MI 48170 | 2017-12-20 |
| Find all providers in zip 48170 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942827852 | Lisa Marie Mcmullen | Physician Assistant | 11845 Pine Way Ct, Plymouth, MI 48170-6299 | 2020-06-26 |
| 1427679703 | Maura Jean Walsh Clemons | Physician Assistant | 12015 26th Ave N, Plymouth, MN 55441-2903 | 2020-04-28 |
| 1457912842 | Joseph Andrew Flagg | Physician Assistant | 35 Kirk Cir, Plymouth, MA 02360-2372 | 2019-06-26 |
| 1780154419 | Allina Health System | Physician Assistant | 16725 County Road 24, Plymouth, MN 55447-1289 | 2018-11-26 |
| 1023585221 | Christopher Rowley | Physician Assistant | 3655 Plymouth Blvd Ste 100, Plymouth, MN 55446-3665 | 2018-10-26 |
| 1407331440 | Mia Catherine Scagliarini | Physician Assistant | 110 Long Pond Rd Ste 212, Plymouth, MA 02360-2642 | 2018-09-25 |
| 1700235868 | Joanna Van Doren | Physician Assistant | 345 Court St Ste 201, Plymouth, MA 02360-4329 | 2016-06-09 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1194930214 | Dennis W Kabaczy | Physician Assistant | 47311 Five Mile Rd, Plymouth, MI 48170-3768 | 2007-05-11 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on PETER ANDREW SHANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.