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

Individual provider Surgical Physician Assistant · NPI 1023597200

Shannon Renee Irish, PA-C is a Physician Assistant in Williamsville, New York. Qualified in 2017, 9 years ago. Practices with Excelsior Orthopaedics LLP, a 146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
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

36 N Union Rd
Williamsville, NY 14221-5383
Phone: (716) 636-1470
Fax: (716) 636-1423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8750 Transit Rd Ste 105, East Amherst, NY 14051-2610 — (716) 636-1470

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 022057 (NY)

Record details

NPI number1023597200
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 9, 2018
Last updated in NPPESSeptember 13, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Excelsior Orthopaedics Llp — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Williamsville