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

Dr. Shannon Keith Twiddy, MD

Individual provider Family Medicine Physician · NPI 1386899292

Dr. Shannon Keith Twiddy, MD is a Family Practice in Niles, Michigan. Graduated from Northeastern Ohio University College of Medicine in 1995, 31 years ago. Practices with Lakeland Community Hospital Watervliet, a 65-clinician group and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
31
Trained at
Northeastern Ohio University College of Medicine
Licensed in
MI, NC
In the registry since
2008
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

2002 S 11th St
Niles, MI 49120-4074
Phone: (269) 687-0200
Fax: (269) 471-7741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301093962 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 9601201 (NC)

Record details

NPI number1386899292
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 19, 2008
Last updated in NPPESDecember 17, 2013

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolNORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Lakeland Community Hospital Watervliet — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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