Individual provider Active NPI

Shawna R Gleason, DO

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1396037172
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021463 Issued in MI
Practice address
1007 Harbor Hills Dr Ste B
Marquette, MI 49855-8977
Phone
(906) 262-0400
NPI assigned
May 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 5101021463 MI Primary

Addresses

Primary practice location

1007 Harbor Hills Dr Ste B
Marquette, MI 49855-8977

Mailing address

1007 Harbor Hills Dr Ste B
Marquette, MI 49855-8977
Phone (906) 262-0400

Other practice location 1

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 485-4431

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141007002592 MI Practitioner - Family Practice 0446470850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1007 Harbor Hills Dr
Suite B
Marquette, MI 49855-8977
Phone (906) 262-0400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101021463MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Health, P.C. Family Medicine Current Accepting new patients
Bell Physician Practices Inc Family Medicine CurrentSince Sep 15, 2014 Accepting new patients
Heritage Health, PC CurrentSince Mar 31, 2020 Accepting new patients
Bell Physician Practices Inc CurrentSince Sep 15, 2014 Accepting new patients

Locations

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

1007 Harbor Hills Dr
Ste B
Marquette, MI 49855
Phone (906) 225-8011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJHCCD/Endpoint/EJHCCD

Organizations & group practices 4

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1396037172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558977",
            "telephone_number": "906-262-0400",
            "fax_number": "906-273-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 HARBOR HILLS DR STE B",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498558977",
            "telephone_number": "906-262-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498491367",
            "country_code": "US",
            "telephone_number": "906-485-4431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GLEASON",
        "first_name": "SHAWNA",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.