Active NPI
Shawn M. Jobe, M.D.
- Pediatric Hematology & Oncology Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 4301503602
- 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.
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Pediatric Hematology & Oncology Physician
- Lansing, MI
- NPI 1730715566
NPD PEDIATRIC HEMATOLOGY-ONCOLOGY -
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201216002825 | MI | Practitioner - Hematology/Oncology | 8325111768 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36649 | IA | MD | Pediatric Hematology & Oncology Physician |
| 61019-20 | WI | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc | Pediatric Hematology-Oncology | Current | Accepting new patients |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | 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
- shawn.jobe.1@8233.direct.athenahealth.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.