Michael James Shannon, ATP
NPI 1922480326ActiveIndividual· Technician, Other· Tyler, TX
Technician, Other (ATP) in Tyler, Texas, licensed in TX, with an NPI issued in June 2015.
Overview
| NPI | 1922480326 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATP |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2015 |
| Last updated in NPPES | Aug 28, 2024 |
| Certified by provider | Aug 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | 85900 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Technician, Other providers in Tyler
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