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

Dr. Shannon E. Skinner, MD

Individual provider Internal Medicine Physician · NPI 1629016514

Dr. Shannon E. Skinner, MD is an Internal Medicine in Phoenix, Arizona. Graduated from Texas Tech University Health Science Center School of Medicine in 1996, 30 years ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
30
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5892
Fax: (602) 344-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 28737 (AZ)
Pediatrics Physician Taxonomy 208000000X · Licence 28737 (AZ)

Record details

NPI number1629016514
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESSeptember 15, 2011

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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