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

Individual provider Medical Physician Assistant · NPI 1871803676

Shannon Marie Convery, PA-C is a Physician Assistant in Lorain, Ohio. Qualified in 2001, 25 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment. Licensed in Ohio and Texas.

Years since qualifying
25
Licensed in
OH, TX
In the registry since
2010
Specialties on file
3
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

5172 Leavitt Rd
Lorain, OH 44053-2384
Phone: (440) 282-3385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.002241 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA03157 (TX)
Physician Assistant Taxonomy 363A00000X · Licence 1052607 NCCPA NUMBER (TX)

Record details

NPI number1871803676
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2010
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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