Shannon Leigh Taut

M.D. | Pediatrics | Female

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Complete Profile:

Shannon Leigh Taut basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Shannon Leigh Taut
Credential :	M.D.
Gender :	Female

Business Address:

Shannon Leigh Taut address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	39901 Traditions Dr, Suite 240 Northville, MI, 48168-9493 United States
Phone Number :	248-305-4400

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1265845770
NPI Entity Type :	Individual
First Enrolment Date :	03 Jun, 2014
Last Updated On :	12 Feb, 2020

Medicare Participation:

Shannon Leigh Taut participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8325354616
Medicare Enrollment ID :	I20180725000385
Primary Specialty :	Internal Medicine
Medical School :	Toledo Medical College
Graduation Year :	2014
Accepts Medicare?	Yes. Shannon Leigh Taut accepts medicare insurance.

Group Practice Association:

Shannon Leigh Taut is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Shannon Leigh Taut is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp A Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp B Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Suite 0331 Ann Arbor, MI - 481090999 Ph: 7349365738	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Lr Rm C213 Recp C Med Inn Ann Arbor, MI - 481090999 Ph: 7347635459	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp C Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp D Taubman Center Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr B1 Floor Recp Emergency University Hosptial Ann Arbor, MI - 481090999 Ph: 7349366666	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp E Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp F Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365823	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr 2nd Floor Recp G Taubman Center Ann Arbor, MI - 481090999 Ph: 7349365020	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Recp G Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Emg Lab University Hospital Ann Arbor, MI - 481090999 Ph: 7349367184	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr Level 358 Cancer And Geriatrics Center Ann Arbor, MI - 481090999 Ph: 7346478901	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 2nd Floor Recp 2b355 University Hopital Ann Arbor, MI - 481090999 Ph: 7349369250	Yes
Regents Of The University Of Michigan	3779496856	2855	1500 E Medical Ctr Dr 1st Floor Room Ann Arbor, MI - 481090999	Yes
Regents Of The University Of Michigan	3779496856	2855	39901 Traditions Dr Northville, MI - 481689493	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shannon Leigh Taut are as mentioned. Primary taxonomy code for Shannon Leigh Taut, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	67156-20	WI
208000000X	Pediatrics	Yes	4301104680	MI

Legacy Identifiers:

Other legacy medical identifiers of Shannon Leigh Taut such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1265845770	MEDICAID	WI

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3621 S State St Ann Arbor, MI, 48108-1633 United States
Phone Number :	734-647-5299

Business Location:

Patients can refer following map for directions to Shannon Leigh Taut practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.