Shoreline Allergy, P.C.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

FD055364 Issued in MI

Legal business name

SHORELINE ALLERGY, P.C.

Practice address

6215 Harvey St
Muskegon, MI 49444-9739

Phone

(231) 799-8777

Fax

(231) 798-7423

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Therese Pipp

Title

Billing/Accts MGR

Phone

(231) 799-8777

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick Michael Detorres, M.D.

  • Allergy & Immunology Physician
  • Muskegon, MI
  • NPI 1518023480
  Medicare reassignment NPD
• Wendi A Grasman, PA

  • Allergy & Immunology Physician
  • Muskegon, MI
  • NPI 1285855346
  Medicare reassignment
• Jason Schend, D.O.

  • Allergy & Immunology Physician
  • Sioux Falls, SD
  • NPI 1861833774
  NPD

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1568638732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 HARVEY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449739",
            "telephone_number": "231-799-8777",
            "fax_number": "231-798-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 HARVEY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449739",
            "telephone_number": "231-799-8777",
            "fax_number": "231-798-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE ALLERGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "PIPP",
        "authorized_official_first_name": "THERESE",
        "authorized_official_title_or_position": "BILLING/ACCTS MGR",
        "authorized_official_telephone_number": "231-799-8777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "MI",
            "license": "FD055364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER",
            "identifier": "0618234",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3478831",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "FD055634",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Kenneth Shireman, MD
• Chelsea Marie Shirley
• Scott Allan Shoemake, ATC, CSCS
• Molli Sholar, DO
• Daniel Aaron Shoop, OD
• Shoreline ASC, LLC
• Shoreline Consultation Services
• Shoreline Counseling LLC
• Shoreline Dental Associates, P.C.
• Shoreline ENT PLC

• Allergy & Immunology Physician in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Allergy & Immunology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.