Individual provider Active NPI

Shaina Bodenhofer

  • Perfusionist
  • Plymouth, MI
National Provider Identifier
1194635763
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PerfusionistTaxonomy code 242T00000X
Practice address
45211 Helm St
Plymouth, MI 48170-6023
Phone
(480) 777-0900
NPI assigned
Sep 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perfusionist 242T00000X Primary

Addresses

Primary practice location

45211 Helm St
Plymouth, MI 48170-6023

Mailing address

45211 Helm St
Plymouth, MI 48170-6023
Phone (480) 777-0900

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1194635763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45211 HELM ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706023",
            "telephone_number": "480-777-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45211 HELM ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481706023",
            "telephone_number": "480-777-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHOFER",
        "first_name": "SHAINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.