Active NPI
Health Specialists of Lenawee, P.C.
- Specialist
- Tecumseh, MI
National Provider Identifier
1184802886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- DS047781
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2019 | Change of Ownership | Promedica Physicians Health Speialists of Lenawee |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Rural Health Clinic/Center
- Tecumseh, MI
- NPI 1427609312
Sold to, 2019-01-01
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Wooster, OH
- NPI 1174705750
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.