Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. SHANNON MALLORY FATSEAS, PA-C

Active

MRS. SHANNON MALLORY FATSEAS, PA-C is a Physician Assistant healthcare provider located in COLUMBUS, Ohio. NPI 1972834240 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · COLUMBUS, OH

Registration Details

NPI Number: 1972834240
Provider Type: Individual
Gender: Female
NPI Issued: Jan 26, 2010 (16.363143203 yrs)
Last Updated: Feb 20, 2026
Licenses: 50.004255RX (OH)

50.004255 (OH)

Practice Information

Address: 3400 OLENTANGY RIVER RD

COLUMBUS, OH, 432021523
Browse OH providers · Browse ZIP 43202
Phone: 6147545500
Fax: 6147545500
Primary Specialty: Physician Assistant
363A00000X
Additional Specialty: Medical Physician Assistant

Other Physician Assistant Providers in COLUMBUS, OH

Name	Credential	NPI
MR. GREGORY P AVELLANA	PA	1710981543
GREGORY F DURANKO	PA-C	1487656914
MRS. ERICA DAWN BOWEN	P.A.	1962495960
TY C WARD	PA-C	1932183415
LESLEY L. PAGE	PA-C	1235117847
RONACHELLE RICHMOND	PA-C	1629056270

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.