Shaun J Melarvie, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35098-20 Issued in WI

Practice address

1843 Michigan St
Sturgeon Bay, WI 54235-1007

Phone

(920) 746-1060

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1902849763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-746-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 MICHIGAN ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351007",
            "telephone_number": "920-746-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELARVIE",
        "first_name": "SHAUN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "35098-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32015800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Ann McCoy, BS
• Elizabeth Faye McDowell, LMFT
• Jalen Evan McMartin, PHARMD
• Brianna McNelly, OTR/L
• Kathryn Elizabeth Mehlberg, RN
• Mariah Leigh Metoxen, OD
• Tomasz Michalski, MD
• Ashley Elizabeth Mijal, APNP
• Christopher F Mildenberg, MD
• Richard K Milewicz II, PA-C

• Surgery Physician in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.