Shalem Healing, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHALEM HEALING, INC.

Practice address

3338 N Doctor Martin Luther King Jr. Drive
Milwaukee, WI 53212

Phone

(414) 640-5433

NPI assigned

Jul 20, 2011

Organization subpart

No

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

Authorized official

Name

Jonathan Gelfman

Title

Clinic Director

Phone

(414) 640-5433

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Jill Allen, MS, OTR/L

  • Occupational Therapist
  • Milwaukee, WI
  • NPI 1679340186
  Medicare reassignment Care Compare group NPD
• Eva Devorkin

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1679394910
  Medicare reassignment Care Compare group NPD
• Robert Jason Fox, DOM, L.AC, APNP

  • Pediatric Nurse Practitioner
  • Milwaukee, WI
  • NPI 1346419686

  Family

  Medicare reassignment Care Compare group NPD
• Jessica Lynn Urban, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1144624172
  Medicare reassignment NPD

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1073801395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3338 N DOCTOR MARTIN LUTHER KING JR. DRIVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53212",
            "telephone_number": "414-640-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALEM HEALING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "GELFMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "414-640-5433"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39909600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Shahwan, APNP
• Brooke Shaikh, APNP
• Nosheen N Shaikh, MD
• Reza Shaker, MD
• Sameer Shakir, MD
• Michael Joseph Shallcross, MD
• Kathleen A Shallow, MD
• Natasha Rae Shallow, M.D.
• Shalom Health Center, SC
• Shalonda Booth

• Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.