Organization Active NPI

Wahib M Shaker MD PC

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1861507436
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
WS034475 Issued in MI
Legal business name
WAHIB M SHAKER MD PC
Doing business as
Wahib M Shaker MD PC
Practice address
43700 Woodward Ave
Suite 109
Bloomfield Hills, MI 48302-5058
Phone
(248) 332-7340
Fax
(248) 332-3890
NPI assigned
Aug 21, 2006
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Wahib M Shaker, M.D.
Title
Owner
Phone
(248) 332-7340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X WS034475 MI Primary

Addresses

Primary practice location

43700 Woodward Ave
Suite 109
Bloomfield Hills, MI 48302-5058

Mailing address

43700 Woodward Ave
Suite 109
Bloomfield Hills, MI 48302-5058
Phone (248) 332-7340

Other identifiers 2

IdentifierTypeStateIssuer
1390439MedicaidMI
1606304562OtherMIBCBS

Other names 1

  • WAHIB M SHAKER MD PC Doing business as

National Provider Directory

National Provider Directory

Locations

43700 Woodward Ave
Ste 109
Bloomfld Hls, MI 48302
Phone (248) 332-7340

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1861507436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 109",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-332-7340",
            "fax_number": "248-332-3890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43700 WOODWARD AVE",
            "address_2": "SUITE 109",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025058",
            "telephone_number": "248-332-7340",
            "fax_number": "248-332-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIB M SHAKER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAKER",
        "authorized_official_first_name": "WAHIB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-332-7340",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "WS034475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1390439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1606304562",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WAHIB M SHAKER MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.