Individual provider · Type 1 NPI

Shannon Mallory Fatseas, PA-C

Physician Assistant · Columbus, OH

NPI number 1972834240 Active

Practice location

3400 Olentangy River Rd
Columbus, OH 43202-1523

Call (614) 754-5500 Map

Fax (614) 754-5500

Other practice locations

  • 410 W 10th Ave, Columbus, OH 43210-1240 · (614) 366-3687

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.004255RX (OH)
Medical Physician Assistant 363AM0700X50.004255 (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1972834240

Shannon Mallory Fatseas, PA-C's National Provider Identifier is 1972834240, issued on Jan 26, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbus, OH. The record was last updated on Feb 20, 2026.