Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anita Mary Shamoun, PA-C

Individual provider Medical Physician Assistant · NPI 1043564941

Anita Mary Shamoun, PA-C is a Physician Assistant in Detroit, Michigan. Qualified in 2012, 14 years ago. Practices with Inpatient Consultants of Colorado PC, a 6-clinician group and accepts Medicare assignment. Licensed in Colorado and Michigan.

Years since qualifying
14
Licensed in
CO, MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6071 W Outer Dr
Detroit, MI 48235-2624
Phone: (313) 966-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601006497 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0007438 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.0007438 (CO)

Record details

NPI number1043564941
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2012
Last updated in NPPESSeptember 20, 2023
Certification dateSeptember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Inpatient Consultants Of Colorado Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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