Jason Shellnut, MD, PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

4301092631 Issued in MI

Legal business name

JASON SHELLNUT, MD, PC

Practice address

1121 Crooks Rd
Royal Oak, MI 48067-1301

Phone

(248) 541-8554

Fax

(248) 541-1791

NPI assigned

May 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jean Leman

Title

Asst Office Manager

Phone

(248) 541-8554

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Kimball Shellnut, M.D.

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1144316340

  Colon & Rectal Surgery

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377561600000",
    "number": "1063857779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671301",
            "telephone_number": "248-541-8554",
            "fax_number": "248-541-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 CROOKS RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671301",
            "telephone_number": "248-541-8554",
            "fax_number": "248-541-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON SHELLNUT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-08-27",
        "status": "A",
        "authorized_official_last_name": "LEMAN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "ASST OFFICE MANAGER",
        "authorized_official_telephone_number": "248-541-8554",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "MI",
            "license": "4301092631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Tomakowsky, PHD, PLLC
• Irma Jaramillo
• Jarc
• Elsa V. Jarosz, M.A.
• Pamela Lynn Jasinski
• Robin Jason
• Sarmad Hassan Jassim, MD
• Isaias Abraham Jauregui, MD
• Maha Sada Jawad, M.D.
• Fadel Jaweesh, M.D.

• Colon & Rectal Surgery Physician in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Colon & Rectal Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.