Active NPI
Shawna R Gleason, DO
- Family Medicine Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101021463
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021463 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Health, P.C. | Family Medicine | Current | Accepting new patients |
| Bell Physician Practices Inc | Family Medicine | Current | Accepting new patients |
| Heritage Health, PC | Current | Accepting new patients | |
| Bell Physician Practices Inc | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Marquette, MI
- NPI 1194329961
-
- Family Medicine Physician
- Ishpeming, MI
- NPI 1578992491
-
- Family Medicine Physician
- Marquette, MI
- NPI 1790373900
-
- Rural Health Clinic/Center
- Ishpeming, MI
- NPI 1114726676
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Ishpeming, MI
- NPI 1699101345
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.