Shawn J Disch, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2347 W Thompson Rd
Fenton, MI 48430-9768

Phone

(810) 593-0221

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 W THOMPSON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309768",
            "telephone_number": "810-593-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 W THOMPSON RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309768",
            "telephone_number": "810-593-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISCH",
        "first_name": "SHAWN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dewar, LLP
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• Edwin Dintsch, R.PH.
• Diskin Diskin & Keoleian Dba Michigan Eye Institute
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• Anne Marie Dorland, OTRL
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• Dr Jo Ann Johnson, D.O., P.L.C.

• Athletic Trainer in Fenton, MI
• Providers in Fenton, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.