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

Individual provider Anesthesiology Physician · NPI 1114580099

Shane O'Toole, MD is an Anesthesiology in Pontiac, Michigan. Qualified in 2019, 7 years ago. Practices with Anesthesia Services Associates PC, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 4301504692 (MI)

Record details

NPI number1114580099
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address50 N Perry St, Pontiac, MI 48342-2217

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Anesthesia Services Associates Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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