National Provider Identifier
Shannon Roberge
Shannon Roberge is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Boston, MA and a listed phone number of (617) 732-5500.
Source: public NPPES record, last updated October 22, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1649157504
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 20, 2025
- Last Updated
- October 22, 2025
Practice Location
- 75 Francis St
- Boston, MA 02115-6106
Phone: (617) 732-5500
Mailing Address
- 550 Victory RD Apt 436
- Quincy, MA 02171-3169
Specialties
- Surgical Physician Assistant (363AS0400X)
- Physician Assistant (363A00000X)
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Biography
Shannon Elizabeth Roberge, PA-C, is a physician assistant with Brigham and Women’s Urogynecology Group. Her Brigham profile lists her specialty as obstetrics and gynecology and notes physician assistant board certification in 2025.
Full Record
- NPI
- 1649157504
- Entity Type
- Individual
- Last Name
- Roberge
- First Name
- Shannon
- Mailing Street Address
- 550 Victory RD Apt 436
- Mailing City
- Quincy
- Mailing State
- MA
- Mailing ZIP Code
- 02171-3169
- Mailing Country
- US
- Practice Street Address
- 75 Francis St
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02115-6106
- Practice Country
- US
- Practice Phone
- (617) 732-5500
- Enumeration Date
- August 20, 2025
- Last Updated
- October 22, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 22, 2025
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physician Assistant (363A00000X)