Performance Health PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007001 Issued in MI

Legal business name

PERFORMANCE HEALTH PC

Practice address

37450 Garfield Rd
Suite 250
Clinton TWP, MI 48036-3657

Phone

(586) 226-3724

Fax

(586) 226-9605

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Shin, D.C.NPI 1417033200

Title

Owner

Phone

(586) 226-3724

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Raymond Shin, D.C.

  • Chiropractor
  • Clinton TWP, MI
  • NPI 1417033200
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Ralph Caron, D.C.

  • Chiropractor
  • Chesterfield, MI
  • NPI 1336492594
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1730571027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD",
            "address_2": "SUITE 250",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-226-3724",
            "fax_number": "586-226-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37450 GARFIELD RD",
            "address_2": "SUITE 250",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480363657",
            "telephone_number": "586-226-3724",
            "fax_number": "586-226-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-226-3724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Pechman
• Samantha Marie Peeples, MD
• Robert R Peleman, M.D.
• Sarah Elizabeth Pender, DO
• Julio Mario Peretti, BALBSW
• Skye Rhanasia Pernell
• Personalize Advance Therapy Services
• Amy Leigh Perugi, LMSW
• Narmen Petros
• Neda Peyman

• Chiropractor in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.