Organization Active NPI

Health Specialists of Lenawee, P.C.

  • Specialist
  • Tecumseh, MI
National Provider Identifier
1184802886
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
DS047781 Issued in MI
Legal business name
HEALTH SPECIALISTS OF LENAWEE, P.C.
Practice address
6869 Occidental Hwy
Tecumseh, MI 49286
Phone
(517) 423-6803
Fax
(517) 423-7257
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Dennis Norbert Shelle, DO
Title
President/Owner
Phone
(517) 423-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X DS047781 MI Primary

Addresses

Primary practice location

6869 Occidental Hwy
Tecumseh, MI 49286

Mailing address

6869 Occidental Hwy
PO Box 130
Tecumseh, MI 49286
Phone (517) 423-6803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 1, 2019 Change of OwnershipThis provider was the seller Promedica Physicians Health Speialists of LenaweeCCN 233903, MI, NPI 1427609312

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1184802886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6869 OCCIDENTAL HWY",
            "address_2": "PO BOX 130",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-423-6803",
            "fax_number": "517-423-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 OCCIDENTAL HWY",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-423-6803",
            "fax_number": "517-423-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF LENAWEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SHELLE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "NORBERT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "517-423-6803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "DS047781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.