Marvin Shulman, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MS 033963 Issued in MI

Practice address

16530 19 Mile Rd
Clinton TWP, MI 48038-1106

Phone

(586) 286-6600

Fax

(586) 286-3503

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mshulman63372@direct.hfhs.org

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1376547810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-6600",
            "fax_number": "586-286-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 19 MILE RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381106",
            "telephone_number": "586-286-6600",
            "fax_number": "586-286-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULMAN",
        "first_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD, PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MS 033963",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "MS033963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "180500207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH0415",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Shick Jr., OD
• Raymond Shin, D.C.
• Shishir Senapati MD PC
• Shivana N. Prakash MDPC
• Steven D Shoha, D.D.S.
• Claire Rebecca Sickon, PT
• Bailey Sikora, MOT, OTR/L
• Silver Circle Counseling and Therapeutic Services, PLLC
• Shaa-Ista Simmons-Wilcox, LMSW
• Moira Kennedy Simms, PH.D, ACSW, LMFT

• Ophthalmology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.