Individual provider Active NPI

Shawn P Syron, MD

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1225019854
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301072019 Issued in MI
Practice address
2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone
(248) 997-9700
Fax
(248) 997-9707
NPI assigned
Nov 10, 2005
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301072019 MI Primary

Addresses

Primary practice location

2940 Crooks Rd
Rochester Hills, MI 48309-3609

Mailing address

2940 Crooks Rd
Rochester Hills, MI 48309-3609
Phone (248) 997-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100518000102 MI Practitioner - Family Practice 0143280479 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301072019MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebrooke Family Physicians Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Stonebrooke Family Physicians Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Zawaideh Medical Center PC Family Medicine PastSince Aug 1, 2003 Accepting new patients

Locations

2940 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 934-1703

Interoperability endpoints

  • Direct secure messaging: shawnsyron@sfp.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1225019854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 CROOKS RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483093609",
            "telephone_number": "248-997-9700",
            "fax_number": "248-997-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYRON",
        "first_name": "SHAWN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.