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

Shiloh Tackett

Individual provider Pulmonary Disease Physician · NPI 1336567643

Shiloh Tackett is a Pulmonary Disease in Traverse City, Michigan. Graduated from Wayne State University School of Medicine in 2014, 12 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2014
Specialties on file
2

Practice location Address checks out

5087 N Royal Dr
Traverse City, MI 49684-6987
Phone: (231) 935-0440
Fax: (231) 935-0445
Show map & directions

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

Additional practice locations (2)

  • 2799 West Grand Blvd., Detroit, MI 48202-2600 — (313) 916-2600
  • 1105 Sixth St, Traverse City, MI 49684-2345 — (231) 935-0440

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 4301502100 (MI)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 4301502100 (MI)

Record details

NPI number1336567643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 3, 2014
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026
Mailing address550 Munson Ave, Traverse City, MI 49686-3580

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Munson Medical Center — 377 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Traverse City