Active NPI
Muaiad Shihadeh MD PC
- Medical Oncology Physician
- Ypsilanti, MI
National Provider Identifier
1013086057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- MUAIAD SHIHADEH MD PC
- Practice address
- 2236 Packard Rd
Ypsilanti, MI 48197 - Phone
- (734) 434-8900
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Muaiad Shihadeh, M.D
- Title
- Authorized Official
- Phone
- (734) 434-8900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | Primary |
Addresses
Primary practice location
2236 Packard Rd
Ypsilanti, MI 48197
Mailing address
2236 Packard Rd
Ypsilanti, MI 48197
Phone (734) 459-7444
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD5295 | Other | MI | MEDICARE RAILROAD |
| 1037130 | Medicaid | MI | |
| 3045454 | Medicaid | MI | |
| 110H110240 | Other | MI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
740 Emerick St
Ypsilanti, MI 48198
Phone (313) 485-1575
2236 Packard Rd
Ypsilanti, MI 48197
Phone (734) 434-2202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1013086057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2236 PACKARD RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-459-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2236 PACKARD RD",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "734-434-8900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUAIAD SHIHADEH MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "SHIHADEH",
"authorized_official_first_name": "MUAIAD",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "734-434-8900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CD5295",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1037130",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3045454",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "110H110240",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.