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

Mr. Fation Shaholli, PAC

Individual provider Physician Assistant · NPI 1700161965

Mr. Fation Shaholli, PAC is a Physician Assistant in Muskegon, Michigan. Qualified in 2011, 15 years ago. Practices with John E Samani MD PC, a 4-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1400 Mercy Dr Ste 100
Muskegon, MI 49444-1836
Phone: (231) 733-1326
Fax: (231) 733-5212
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006208 (MI)

Record details

NPI number1700161965
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 19, 2011
Last updated in NPPESOctober 19, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice John E Samani Md Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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