Active NPI
Toskhan Jamaal Marcel Cooper-Shelton, M.D., M.B.A., M.S.
- General Practice Physician
- Escanaba, MI
National Provider Identifier
1811215312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4301509672
- Practice address
- 618 S 9TH St
Escanaba, MI 49829-3623 - Phone
- (906) 318-9405
- NPI assigned
- May 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301509672 | MI | Primary |
| General Practice Physician | 208D00000X | MD450412 | PA | |
| General Practice Physician | 208D00000X | 01072862A | IN |
Addresses
Primary practice location
618 S 9TH St
Escanaba, MI 49829-3623
Mailing address
618 S 9TH St
Escanaba, MI 49829-3623
Phone (906) 318-9405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, PA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Damien Cares Inc. | Current | Accepting new patients |
Locations
26 N Arsenal Ave
Indianapolis, IN 46201
Phone (317) 423-0123
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Indianapolis, IN
- NPI 1649650235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786665600000",
"number": "1811215312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 S 9TH ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498293623",
"telephone_number": "906-318-9405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S 9TH ST",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498293623",
"telephone_number": "906-318-9405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER-SHELTON",
"first_name": "TOSKHAN",
"middle_name": "JAMAAL MARCEL",
"name_prefix": "Dr.",
"credential": "M.D., M.B.A., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-07",
"last_updated": "2026-08-14",
"certification_date": "2026-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301509672",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD450412",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01072862A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.