Active NPI
Daniel Sheesley, D.O.
- Emergency Medicine Physician
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101011879
- Practice address
- 18101 Oakwood Blvd
Dearborn, MI 48124-4089 - Phone
- (313) 593-8780
- Fax
- (313) 436-2864
- NPI assigned
- Jan 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101011879 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 0102203123 | VA |
Addresses
Primary practice location
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Mailing address
38935 Ann Arbor Rd
Livonia, MI 48150-3354
Phone (734) 632-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11288629 | Other | MI | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
307 S Evergreen Ave
Woodbury, NJ 08096-2739
3303 S Meridian Ave
Oklahoma City, OK 73119-1026
957 Mildred J CT
Brighton, MI 48116-3798
Hospital & facility affiliations
- Trinity Health Livingston Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Mercy Livingston Hospital | Emergency Medicine | Current | Accepting new patients |
| Emergency Professionals of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| Saint Joseph Mercy Livingston Hospital | Current | Accepting new patients | |
| Epmg of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
Locations
7300 N Canton Center Rd
Canton, MI 48187
Phone (734) 454-8001
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
826 W King St
Owosso, MI 48867
Phone (989) 720-2273
10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000
33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042
5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Dearborn, MI
- NPI 1952740656
-
- Emergency Medicine Physician
- Brighton, MI
- NPI 1285753236
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brighton, MI
- NPI 1093748642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336953600000",
"number": "1639157704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38935 ANN ARBOR RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481503354",
"telephone_number": "734-632-0175",
"fax_number": "734-632-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18101 OAKWOOD BLVD",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481244089",
"telephone_number": "313-593-8780",
"fax_number": "313-436-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEESLEY",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-09",
"last_updated": "2012-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101011879",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0102203123",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11288629",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.