Spiro and Shanbom MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301054486 Issued in MI

Legal business name

SPIRO AND SHANBOM MD PC

Practice address

28747 Woodward Ave
Berkley, MI 48072-0914

Phone

(248) 546-2133

Fax

(248) 546-6036

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Adam Shanbom, MDNPI 1265433742

Title

President

Phone

(248) 546-2133

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shanbom Eye Specialist Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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

• Steven Adam Shanbom, MD

  • Ophthalmology Physician
  • Berkley, MI
  • NPI 1265433742
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Andrew Sesi, MD

  • Ophthalmology Physician
  • Novi, MI
  • NPI 1124655501
  Medicare reassignment Care Compare group NPD
• Sally Jamal Murad-Kejbou, D.O.

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1366671521
  Medicare reassignment NPD
• Amanda Bree Salter, MD

  • Ophthalmology Physician
  • Bingham Farms, MI
  • NPI 1255644902
  Medicare reassignment NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1184845331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28747 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720914",
            "telephone_number": "248-546-2133",
            "fax_number": "248-546-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28747 WOODWARD AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480720914",
            "telephone_number": "248-546-2133",
            "fax_number": "248-546-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRO AND SHANBOM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SHANBOM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-546-2133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301054486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104141179",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA2010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shanbom Eye Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Steinert, LPN
• John C Stephens, MD
• Beth Ann Steslicki, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.