Elizabeth Mary Shadigian, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301064081 Issued in MI

Practice address

2340 E Stadium Blvd
Suite 8
Ann Arbor, MI 48104-4823

Phone

(734) 477-5100

Fax

(734) 477-5111

NPI assigned

Oct 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 22, 2009 through Jan 22, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Womansafehealth

  • Medical Specialty Clinic/Center
  • Ann Arbor, MI
  • NPI 1548434814
  NPD (past) Authorized official

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1083803993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "734-477-5100",
            "fax_number": "734-477-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E STADIUM BLVD",
            "address_2": "SUITE 8",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044823",
            "telephone_number": "734-477-5100",
            "fax_number": "734-477-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADIGIAN",
        "first_name": "ELIZABETH",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301064081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3139819",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4414900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Sha
• Wael Mansour Shabana, MD
• Christina Lynn Shabet, MD
• Kendra Patricia Shackelton, LMSW
• Grace Helen Shadid, MD
• Susan Margaret Elizabeth Shadley
• Johnita Denise Shaffer, BS
• Robert Woodworth Shaffer, MD
• Mayra Alejandra Shafique, MD
• Joshua Shafquat

• Obstetrics & Gynecology Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.