Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922480326 Individual Practitioner Male Practitioner

Michael James Shannon , ATP

Technician, Other • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Michael Shannon, ATP is a registered healthcare professional specializing in Technician, Other in Tyler, TX. Practice services are available at 12406 STATE HIGHWAY 155 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12406 State Highway 155 S

Tyler, TX 757036446

Telephone 9035928931
Fax 9035928922
Associated Practice Facility / Clinic
🏢 Access2mobility, Inc Facility NPI 1497707533

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician, Other in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Tyler, TX (787 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-28
Technician, Other Primary Specialty

NUCC Taxonomy Code: 247200000X

State License TX 85900

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Jose Lopez , ATP

Technician, Other

NPI 1669908018

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 30, 2020

Registered at 2407 WSW LOOP 323, TYLER, TX 75701 (Tel: 9035818844)

NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2015

Registered at 12406 STATE HIGHWAY 155 S, TYLER, TX 757036446 (Tel: 9035928931)

📍
Updated Business Mailing Address June 22, 2015

Registered at 12406 STATE HIGHWAY 155 S, TYLER, TX 757036446 (Tel: 9035928931)

👤
Provider Name / Credentials Updated June 22, 2015

Recorded as MICHAEL SHANNON, ATP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Technician, Other (License #85900 in TX)

🟢
Initial NPI Registration & Enumeration June 22, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922480326
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2015
Last Update: August 28, 2024
Sole Proprietor: Yes

Mailing Address

2407 Wsw Loop 323

Tyler, TX 75701

Phone: 9035818844

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.