Individual provider Active NPI

Shawn M. Jobe, M.D.

  • Pediatric Hematology & Oncology Physician
  • Lansing, MI
National Provider Identifier
1801005855
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
4301503602 Issued in MI
Practice address
1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897
Phone
(517) 364-5440
Fax
(517) 364-5409
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20201216002825 MI Practitioner - Hematology/OncologyPractitioner - Pediatric Medicine 8325111768 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36649IAMDPediatric Hematology & Oncology Physician
61019-20WIMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Msu Health Care Inc. CurrentSince Jan 1, 2021 Accepting new patients
Msu Health Care Inc Current Accepting new patients
Msu Health Care Inc Pediatric Hematology-Oncology CurrentSince Jan 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Dec 1, 2021 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Dec 1, 2021 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976

4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

1200 E Michigan Ave
Ste 145
Lansing, MI 48912
Phone (517) 364-5440

Interoperability endpoints

  • Direct secure messaging: shawn.jobe.1@8233.direct.athenahealth.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 61019-20 WI
Pediatric Hematology & Oncology Physician 2080P0207X 36649 IA
Pediatric Hematology & Oncology Physician 2080P0207X 4301503602 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1200 E Michigan Ave Ste 145
Lansing, MI 48912-1897

Mailing address

804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 364-5440

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 27, 2023.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1801005855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE STE 145",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121897",
            "telephone_number": "517-364-5440",
            "fax_number": "517-364-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBE",
        "first_name": "SHAWN",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WI",
            "license": "61019-20",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IA",
            "license": "36649",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MI",
            "license": "4301503602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.