Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqueline Shanahan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104072701

Dr. Jacqueline Shanahan, DO is a Family Practice in Orchard Park, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2008, 18 years ago. Practices with Buffalo Medical Group, PC, a 236-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
18
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3670 S Benzing Rd
Orchard Park, NY 14127
Phone: (716) 662-5357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3900 N Buffalo St, Orchard Park, NY 14127-1842 — (716) 630-1000
  • 3670 S Benzing Rd, Orchard Park, NY 14127-1705 — (716) 662-5357

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 280972 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104072701
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 14, 2008
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address425 Essjay Rd Ste 170, Williamsville, NY 14221-5782

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2008 (18 years in practice)
Group practice Buffalo Medical Group, P.C. — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Orchard Park