Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL SHANNON ROSCOE, PA
ActiveMedical Physician Assistant · LAFAYETTE, IN
Registration Details
- NPI Number
- 1548283823
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (19.739912444393 yrs)
- Last Updated
- Jan 18, 2014
- License
-
10000397A (IN)
Practice Information
- Address
-
5165 MCCARTY LNLAFAYETTE, IN, 479058764Browse IN providers · Browse ZIP 47905
- Phone
- 7658385100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in LAFAYETTE, IN
| Name | Credential | NPI |
|---|---|---|
| JILL M. REISMAN | PA | 1881617538 |
| WILLIAM BODINE | PA-C | 1114332459 |
| MRS. MARISA COHEN | PA-C | 1235546003 |
| PATRICIA WOZNIAK | PA-C | 1093101073 |
| AMELIA B DALE | PA-C | 1063896934 |
| MRS. SARAH CAMPBELL | PA-C | 1326565797 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.