Active NPI
Vincent Shen MD PLC
- Hematology & Oncology Physician
- Marshall, MI
National Provider Identifier
1396931937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 4301082993
- Legal business name
- VINCENT SHEN MD PLC
- Practice address
- 215 E Mansion St
Suite 2E
Marshall, MI 49068-1559 - Phone
- (269) 789-3940
- Fax
- (269) 789-3879
- NPI assigned
- Sep 18, 2007
- Last updated
- Oct 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vincent Shen, M.D.
- Title
- President
- Phone
- (269) 789-3940
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 4301082993 | MI | Primary |
Addresses
Primary practice location
215 E Mansion St
Suite 2E
Marshall, MI 49068-1559
Mailing address
215 E Mansion St
Suite 2E
Marshall, MI 49068-1559
Phone (269) 789-3940
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1101310581 | Other | MI | MI BCBS |
| 4594094 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
215 E Mansion St
Ste 2E
Marshall, MI 49068
Phone (269) 781-9822
Practitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1396931937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2E",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-3940",
"fax_number": "269-789-3879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E MANSION ST",
"address_2": "SUITE 2E",
"city": "MARSHALL",
"state": "MI",
"postal_code": "490681559",
"telephone_number": "269-789-3940",
"fax_number": "269-789-3879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT SHEN MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "SHEN",
"authorized_official_first_name": "VINCENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-789-3940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MI",
"license": "4301082993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MI BCBS",
"identifier": "1101310581",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4594094",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.