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

Shawn Obi, DO

Individual provider Surgery Physician · NPI 1275797250

Shawn Obi, DO is a General Surgery in Jackson, Michigan. Qualified in 2003, 23 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
23
Licensed in
MI
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

300 W Washington Ave Ste 350
Jackson, MI 49201-2180
Phone: (517) 788-9677
Fax: (517) 817-7616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101017692 (MI)

Record details

NPI number1275797250
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 18, 2008
Last updated in NPPESOctober 24, 2008
Mailing addressPo Box 67000, Department 272801, Detroit, MI 48267-0002

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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