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

Individual provider Physician Assistant · NPI 1851581573

Bethany R Shanku, PA-C is a Physician Assistant in Southfield, Michigan. Qualified in 2007, 19 years ago. Practices with Michigan Orthopaedic Surgeons PLLC, a 126-clinician group, works from 10 locations and accepts Medicare assignment. Licensed in Michigan, New Hampshire, New York and Tennessee.

Years since qualifying
19
Licensed in
MI, NH, NY, TN
In the registry since
2007
Specialties on file
4
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

26025 Lahser Rd Fl 3
Southfield, MI 48033-2606
Phone: (248) 663-1923
Fax: (248) 809-3378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 17877 W 14 Mile Rd, Beverly Hills, MI 48025-3127 — (248) 644-3920
  • 24255 W 13 Mile Rd Ste 100, Bingham Farms, MI 48025-4345 — (248) 988-8085
  • 26750 Providence Pkwy Ste 220, Novi, MI 48374-1212 — (248) 596-0412
  • 30575 Woodward Ave, Royal Oak, MI 48073-0980 — (248) 280-8550
  • 45816 Schoenherr Rd, Shelby Twp, MI 48315-6028 — (586) 842-2400
  • 26025 Lahser Rd Fl 2, Southfield, MI 48033-2606 — (248) 663-1900
  • 1350 Kirts Blvd Ste 160, Troy, MI 48084-4852 — (248) 244-9426
  • 4967 Crooks Rd Ste 100, Troy, MI 48098-5812 — (248) 846-8060
  • 33200 W 14 Mile Rd Ste 220, West Bloomfield, MI 48322-3586 — (248) 855-7400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601007853 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 0796 (NH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 015254 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1507 (TN)

Record details

NPI number1851581573
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 30, 2007
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Michigan Orthopaedic Surgeons Pllc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Southfield