Salem S Shahin MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4571 Issued in ND

Legal business name

SALEM S SHAHIN MD PC

Practice address

1219 Knoll St
Williston, ND 58801-3234

Phone

(701) 572-0127

Fax

(701) 572-4472

NPI assigned

Dec 7, 2011

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leeann Marie Seil

Title

Clinic Manager

Phone

(701) 572-0127

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1205104080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 KNOLL ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013234",
            "telephone_number": "701-572-0127",
            "fax_number": "701-572-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 KNOLL ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013234",
            "telephone_number": "701-572-0127",
            "fax_number": "701-572-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM S SHAHIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "SEIL",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "701-572-0127"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "ND",
            "license": "4571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13783",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Rustad, LSW
• Jane Jabile Rutledge, PT
• Doug Sala, OTR
• Lizette Salas
• Steven Craig Salcido, M.D.
• Sangeeta Sanjay Samudre, R.PH
• David Bruce Sandberg, RPH
• Katelyn Marie Sandberg, RN
• Lyndi Elisabeth Sanders, LMSW
• Kelli Sandvik

• Urology Physician in Williston, ND
• Providers in Williston, ND by specialty
• Urology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.