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

Mrs. Shannon Mallory Fatseas, PA-C

Individual provider Physician Assistant · NPI 1972834240

Mrs. Shannon Mallory Fatseas, PA-C is a Physician Assistant in Columbus, Ohio. Qualified in 2014, 12 years ago. Practices with Ohio Gastroenterology Group, Inc, a 117-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone: (614) 754-5500
Fax: (614) 754-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 410 W 10th Ave, Columbus, OH 43210-1240 — (614) 366-3687

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004255RX (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.004255 (OH)

Record details

NPI number1972834240
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2010
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ohio Gastroenterology Group, Inc. — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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