Kenneth W. Shaheen, M.D.,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

KS048031 Issued in MI

Legal business name

KENNETH W. SHAHEEN, M.D.,P.C.

Practice address

2585 Crooks Rd
Troy, MI 48084-4702

Phone

(248) 283-1110

Fax

(248) 283-1114

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Marie Porter

Title

Medical Biller

Phone

(248) 283-1110

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kenneth W Shaheen, M.D.

  • Specialist
  • Troy, MI
  • NPI 1114928199
  Medicare reassignment NPD

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1093987927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844702",
            "telephone_number": "248-283-1110",
            "fax_number": "248-283-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 CROOKS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844702",
            "telephone_number": "248-283-1110",
            "fax_number": "248-283-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. SHAHEEN, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "248-283-1110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "KS048031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "2406317142",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeinab Kenaan, PA
• Amanda Kendrick, NP
• Kristin Michelle Kennaugh, RN, BSN
• Jessica Frances Kennedy, FNP
• Kaitlyn Elisabeth Kennedy, PT, DPT
• David M Kent, D.O.
• Gina Katherine Kent, MA LPC
• Karoline Kenville, BCBA
• Marissa Carr Kenyon, PA-C
• Kenneth M Kernen, MD

• Specialist in Troy, MI
• Providers in Troy, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.