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

Michael Shannon Roscoe, PA

Individual provider Medical Physician Assistant · NPI 1548283823

Michael Shannon Roscoe, PA is a Medical Physician Assistant in Lafayette, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone: (765) 838-5100
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 10000397A (IN)

Record details

NPI number1548283823
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESJanuary 18, 2014

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