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

John P Shannon, MD

Individual provider Surgery Physician · NPI 1982610903

John P Shannon, MD is a General Surgery in Walla Walla, Washington. Graduated from University of Washington School of Medicine in 1971, 55 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
55
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

301 W Poplar Ste 210
Walla Walla, WA 99362
Phone: (509) 522-5825
Fax: (509) 529-3512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 15136 (WA)

Record details

NPI number1982610903
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESMarch 31, 2021
Certification dateMarch 31, 2021
Mailing addressPo Box 2292, Walla Walla, WA 99362

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 1971 (55 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walla Walla