Peter Shaman, M.D., PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

4301061627 Issued in MI

Legal business name

PETER SHAMAN, M.D., PC

Practice address

6770 Dixie Hwy
Ste 313
Clarkston, MI 48346-2087

Phone

(248) 625-8555

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By 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

Peter P Shaman, M.D.,NPI 1932158326

Title

Physician

Phone

(248) 625-8555

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter P Shaman, MD

  • Obstetrics & Gynecology Physician
  • Clarkston, MI
  • NPI 1932158326
  NPD (past) Authorized official

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225061005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 LAKEVIEW DR",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-594-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "STE 313",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-625-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER SHAMAN, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAMAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-625-8555",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301061627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.