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

Peter Andrew Shannon, PA

Individual provider Physician Assistant · NPI 1891081626

Peter Andrew Shannon, PA is a Physician Assistant in Wyandotte, Michigan. Qualified in 2011, 15 years ago. Practices with Henry Ford Wyandotte Hospital, a 194-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2070 Biddle Ave
Wyandotte, MI 48192-4080
Phone: (734) 225-9100
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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 5601005978 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1891081626
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021

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 Henry Ford Wyandotte Hospital — 194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wyandotte