Active NPI
Aaron Ray Shell
- Specialist
- Ferndale, MI
National Provider Identifier
1104251131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- S400028730542
- Practice address
- 1917 Planavon St
Ferndale, MI 48220-1756 - Phone
- (248) 761-3235
- NPI assigned
- Sep 10, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | S400028730542 | MI | Primary |
Addresses
Primary practice location
1917 Planavon St
Ferndale, MI 48220-1756
Mailing address
1917 Planavon St
Ferndale, MI 48220-1756
Phone (248) 761-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S400028730542 | MI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1104251131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 PLANAVON ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201756",
"telephone_number": "248-761-3235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 PLANAVON ST",
"city": "FERNDALE",
"state": "MI",
"postal_code": "482201756",
"telephone_number": "248-761-3235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELL",
"first_name": "AARON",
"middle_name": "RAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-10",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "S400028730542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ferndale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.