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

Shannon O'Donnell Lofgren, PA-C

Individual provider Physician Assistant · NPI 1215356811

Shannon O'Donnell Lofgren, PA-C is a Physician Assistant in Clearwater, Florida. Qualified in 2013, 13 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2014
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

455 Pinellas St
Clearwater, FL 33756-3354
Phone: (305) 322-6263
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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 0010-04883 (NC)

Record details

NPI number1215356811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 10, 2014
Last updated in NPPESOctober 8, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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