Organization Active NPI

Shoshana Hallowell MD PLLC

  • Surgery Physician
  • Waterford, MI
National Provider Identifier
1609712975
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SHOSHANA HALLOWELL MD PLLC
Practice address
5454 Dixie Hwy
Waterford, MI 48329-1615
Phone
(407) 919-8667
NPI assigned
Apr 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Shoshana Hallowell, MDNPI 1528371895
Title
General Surgeon
Phone
(407) 919-8667

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

5454 Dixie Hwy
Waterford, MI 48329-1615

Mailing address

3195 Oxford W
Auburn Hills, MI 48326-3966
Phone (407) 919-8667

National Provider Directory

National Provider Directory
Tax ID family
Shoshana D Hallowell MD PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5454 Dixie Hwy
Waterford, MI 48329
Phone (407) 919-8667

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1609712975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 OXFORD W",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483263966",
            "telephone_number": "407-919-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291615",
            "telephone_number": "407-919-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSHANA HALLOWELL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "HALLOWELL",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "GENERAL SURGEON",
        "authorized_official_telephone_number": "407-919-8667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.