Shannon Isaacson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003442 Issued in MI

Practice address

921 W Sharon Ave
Houghton, MI 49931

Phone

(906) 483-1777

Fax

(906) 483-0188

NPI assigned

Mar 2, 2007

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Dickinson County Healthcare System

  • Emergency Medical Services (Emergency Medicine) Physician
  • Iron Mountain, MI
  • NPI 1891751186

  Physician Assistant

  Medicare reassignment NPD
• Lansing Urgent Care, PLC

  • Urgent Care Clinic/Center
  • Lansing, MI
  • NPI 1780987990
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1700915345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-483-1777",
            "fax_number": "906-483-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W SHARON AVE",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-483-1777",
            "fax_number": "906-483-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "SHANNON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Ann Huls, R.N.
• Richard E Imm, M.D.
• Meghan Lawler Immel
• Inner Strength Physical Therapy and Wellness
• Marilyn Louise Isaacson, BSN, RN, CDDN
• Jared Berryman Chiropractic, PLLC
• Chad Robert Johnson, LBSW
• Diane Sue Johnson, R.N.
• Katharine Johnson, PT
• Rebecca B Johnson, D.D.S.

• Physician Assistant in Houghton, MI
• Providers in Houghton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.