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

Shannon Tew, MD

Individual provider Anesthesiology Physician · NPI 1679717375

Shannon Tew, MD is an Anesthesiology in Salt Lake City, Utah. Graduated from Medical College of Wisconsin in 2009, 17 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona, North Carolina and Utah.

Years since qualifying
17
Trained at
Medical College of Wisconsin
Licensed in
AZ, NC, UT
In the registry since
2009
Specialties on file
3
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

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-3578
Fax: (801) 662-3583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Erwin Road, Durham, NC 27710 — (919) 681-4877

Specialties & licences

Pediatric Anesthesiology Physician (primary) Taxonomy 207LP3000X · Licence 13157195-1205 (UT)
Anesthesiology Physician Taxonomy 207L00000X · Licence 2013-01302 (NC)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 50549 (AZ)

Record details

NPI number1679717375
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2009
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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