Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon M. Hogan, PA-C

Individual provider Medical Physician Assistant · NPI 1801865845

Shannon M. Hogan, PA-C is a Medical Physician Assistant in Goodyear, Arizona. Works from 2 locations. Licensed in Arizona and Nevada.

Licensed in
AZ, NV
In the registry since
2006
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

13555 W McDowell Rd Ste 101
Goodyear, AZ 85338-2624
Phone: (623) 881-9238
Fax: (623) 512-4253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3841 W Charleston Blvd Ste 203, Las Vegas, NV 89102-1858 — (702) 848-4443

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2251 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1509 (AZ)

Record details

NPI number1801865845
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESMarch 7, 2023
Certification dateJuly 6, 2020

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