Shannon L Meade, PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

004488 Issued in MI

Practice address

19229 Mack Ave
Ste 10
Grosse Pointe Woods, MI 48236

Phone

(313) 647-3100

Fax

(313) 647-3111

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Macomb MRT Center LLCGroup PAC ID 6901973759, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Henry Ford Health System North Macomb MRT Center LLC

  • Radiation Oncology Physician
  • Macomb TWP, MI
  • NPI 1053575118
  Medicare reassignment Care Compare group
• Henry Ford Health System Radiation Oncology Specialists PC

  • Radiation Oncology Physician
  • Grosse Pointe Woods, MI
  • NPI 1972529436
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1629094388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "STE 10",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-647-3100",
            "fax_number": "313-647-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19229 MACK AVE",
            "address_2": "STE 10",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "48236",
            "telephone_number": "313-647-3100",
            "fax_number": "313-647-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADE",
        "first_name": "SHANNON",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "004488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephani McIsaac, LMSW
• Demi McKeever
• Arianna McKinstry
• Jeffrey McMahon, P.A.
• Reekalah McWilliams
• Praneil Dave Mehta, MD
• Merit Woods Pharmacy, Inc.
• Nilufa Khanom Miah, MA, BCBA, LBA
• Michael Direzze, DDS, PLLC
• Michael J. Guest, Jr., D.D.S., P.C.

• Radiation Oncology Physician in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.