SHANE MICHAEL DIGNAN


Address: 259 Mack Ave, Detroit, MI 48201-2427
Phone: 7343778685

SHANE MICHAEL DIGNAN (NPI# 1679195176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679195176
Entity Type Individual
Full Name SHANE MICHAEL DIGNAN
Credential PA-C
Practice Address 259 Mack Ave
Detroit
MI 48201-2427
Practice Telephone 7343778685
Mailing Telephone 7343778685
Enumeration Date 2020-05-07
Last Update Date 2020-08-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical 		MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 259 MACK AVE
City DETROIT
State MI
Zip Code 48201-2427

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073715397 Kenyetta Nicole Nesbitt Pharmacist 259 Mack Ave, Eacphs Suite 2190, Detroit, MI 48201-2427 2007-05-31
1124642657 Brenna Claire Stesney Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2020-06-01
1871144766 Janelle Yousif Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-09-23
1336701556 Juela Kuci Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-07-08
1538726419 Craig Keinath Physician Assistant 259 Mack Ave, Detroit, MI 48201-2427 2019-05-25
1194382077 Kirk Bennett Physician Assistant 259 Mack Ave, Detroit, MI 48201 2019-05-25
1972902443 Amber Lanae Smith Pharmacist 259 Mack Ave, Detroit, MI 48201-2427 2014-08-20
1659787182 Kristina Nada Dabish Physician Assistant 259 Mack Ave, 2590, Detroit, MI 48201-2427 2014-07-03
1205180049 Paul Evan Kilgore Internal Medicine 259 Mack Ave, Suite 2118, Detroit, MI 48201-2427 2012-11-01
1962777110 Matthew Joseph Hynes Veterinarian 259 Mack Ave, Claws & Paws Clinic Wsu/dlar-wcccd/lvt, Detroit, MI 48201-2427 2012-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831340355 Antonia L Navarro Physician Assistant University Physician Group Oncology, 4100 John R, Detroit, MI 48201-2013 2008-10-02
1104974443 Amy B Oatfield Physician Assistant Henry Ford Hospital Trauma and Critical Care Cfp-1, 2799 West Grand Blvd, Detroit, MI 48202 2007-01-05
1295750677 Ingrid Dominic Mitchell Physician Assistant 18254 Livernois Ave Ste 1, Detroit, MI 48221-4214 2006-07-13
1952397291 Kelly Michelle Brown Physician Assistant 22151 Moross Rd Ste 320, Maternal Fetal Medicine St John Hospital & Medical Cen, Detroit, MI 48236-2196 2005-09-22
1467067975 Jerrica Clemens Physician Assistant 4100 Woodward Ave, Detroit, MI 48201-2173 2020-09-11
1174154843 Weston Alexander Davis Physician Assistant 22101 Moross Rd, Detroit, MI 48236-2148 2020-01-30
1689225443 Alaa Eddin Tahboub Physician Assistant 4771 Michigan Ave, Detroit, MI 48210-9718 2019-09-24
1609338367 Aanchal Bhojwani Physician Assistant 2799 W Grand Blvd, Detroit, MI 48202-2608 2019-04-02
1952883068 Jeremy Lynn Herzberg Physician Assistant 2799 W Grand Blvd, Detroit, MI 48202-2608 2018-09-05
1124508122 Chadius M Milton Physician Assistant 18254 Livernois Ave Ste 1, Detroit, MI 48221 2018-08-19
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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