NPIMap

Organization Active NPI

Marwan Shuayto MD PC

Doing business as Blue Water Open MRI

  • Neurology Physician
  • Port Huron, MI
National Provider Identifier
1578819850
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MARWAN SHUAYTO MD PC
Doing business as
Blue Water Open MRI
Practice address
1103 7TH St Ste a
Port Huron, MI 48060-5497
Phone
(810) 989-0000
NPI assigned
Jul 24, 2012
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MARWAN SHUAYTO MD PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Dr. Marwan I Shuayto, M.D.NPI 1841383924
Title
Physician
Phone
(810) 989-0000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

1103 7TH St Ste a
Port Huron, MI 48060-5497

Mailing address

1103 7TH St Ste a
Port Huron, MI 48060-5497
Phone (810) 989-0000

Other names 1

  • Blue Water Open MRI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121109000580 MI Part B Supplier - Clinic/Group Practice 3072764596 Receives reassigned benefits from 21 practitioners
Practice locations: Port Huron, MI; Warren, MI; East China, MI

National Provider Directory

National Provider Directory
Part of
Mawan Shuayto MD PC

Locations

1103 7th St
Ste A
Port Huron, MI 48060
Phone (810) 989-0000

615 Pine St
Port Huron, MI 48060
Phone (810) 387-2318

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1578819850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 7TH ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605497",
            "telephone_number": "810-989-0000",
            "fax_number": "810-989-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 7TH ST STE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605497",
            "telephone_number": "810-989-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAN SHUAYTO MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARWAN SHUAYTO MD PC",
        "enumeration_date": "2012-07-24",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "SHUAYTO",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-989-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; 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.