Active NPI
Marie Elizabeth Awad, D.O.
- Family Medicine Physician
- Shelby Township, MI
National Provider Identifier
1407974801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101010331
- Practice address
- 47945 Milonas Dr
Shelby Township, MI 48315-5040 - Phone
- (586) 566-4072
- Fax
- (586) 884-6940
- NPI assigned
- Mar 26, 2007
- 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 | 5101010331 | MI | Primary |
Addresses
Primary practice location
47945 Milonas Dr
Shelby Township, MI 48315-5040
Mailing address
47945 Milonas Dr
Shelby Township, MI 48315-5040
Phone (586) 566-4072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101010331 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467504000000",
"number": "1407974801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47945 MILONAS DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155040",
"telephone_number": "586-566-4072",
"fax_number": "586-884-6940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47945 MILONAS DR",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483155040",
"telephone_number": "586-566-4072",
"fax_number": "586-884-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AWAD",
"first_name": "MARIE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101010331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.