Active NPI
Sharon Philippa Marshall, MD
- Pediatric Adolescent Medicine Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 4301406543
- Practice address
- 3950 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201 - Phone
- (313) 832-8290
- Fax
- (313) 993-0081
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301406543 | MI | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 4301406543 | MI | Primary |
Addresses
Primary practice location
3950 Beaubien
Children'S Hospital of Mi
Detroit, MI 48201
Mailing address
4201 St. Antoine - Uhc 5D Mailbox 226
University Pediatricians
Detroit, MI 48201-2061
Phone (313) 745-4405
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
- Pediatric Medicine
- Education
- Missouri Medical College, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Mack Ave
Suite 1
Detroit, MI 48201-2136
Phone (313) 448-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301406543 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wayne Pediatrics Inc. | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Resilience Healthcare - Lakefront Medical Associates, LLC | Past | Accepting new patients |
Locations
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
400 Mack Ave
Ste 1
Detroit, MI 48201
Phone (313) 448-9600
3950 Beaubien St
Detroit, MI 48201
Phone (313) 745-5437
400 Mack Ave
Ste 9
Detroit, MI 48201
Interoperability endpoints
- smarshal@direct.dmc.org
- smarshall681950@direct.hfhs.org
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.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1760015622
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- General Practice Physician
- Chicago, IL
- NPI 1205301926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1659319770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ST. ANTOINE - UHC 5D MAILBOX 226",
"address_2": "UNIVERSITY PEDIATRICIANS",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012061",
"telephone_number": "313-745-4405",
"fax_number": "313-966-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 BEAUBIEN",
"address_2": "CHILDREN'S HOSPITAL OF MI",
"city": "DETROIT",
"state": "MI",
"postal_code": "48201",
"telephone_number": "313-832-8290",
"fax_number": "313-993-0081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "SHARON",
"middle_name": "PHILIPPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301406543",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "MI",
"license": "4301406543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.