George Harry Shanlikian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301086792 Issued in MI

Practice address

280 N Old Woodward Ave Ste 210
Birmingham, MI 48009-5324

Phone

(734) 812-8412

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2015 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Amerapex RX

  • Pharmacy
  • Troy, MI
  • NPI 1922949197
  Authorized official Same address or phone
• Firstcare Pharmacy Inc

  dba Firstcare Pharmacy

  • Community/Retail Pharmacy
  • Garden City, MI
  • NPI 1467960658
  Authorized official Same address or phone
• Genemedics Health Institute P.C.

  • Internal Medicine Physician
  • Birmingham, MI
  • NPI 1366887788
  Authorized official Same address or phone

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1568673531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N OLD WOODWARD AVE STE LL12",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095303",
            "telephone_number": "734-812-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N OLD WOODWARD AVE STE 210",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480095324",
            "telephone_number": "734-812-8412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9735 Wilshire Blvd Ph",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902122104",
            "country_code": "US",
            "telephone_number": "800-277-4041",
            "fax_number": "877-888-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANLIKIAN",
        "first_name": "GEORGE",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C-142908",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301086792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://genemedicsnutrition.com/",
            "affiliation": "N",
            "address_1": "280 N Old Woodward Ave Ste 210",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480095324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Self-Care Center
• Alexandra Kalabat Semma
• Samora Senti, LMT
• Amber M Sepsey, PHD
• Seraphine Therapy & Wellness
• Melvin B Sharf, M.D.
• Lori Sharp, CMT
• Elizabeth Suzanne Shaw-Draves, LLP
• Barbara J Shaya, LPC
• Shear Pointe Inc

• Internal Medicine Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.