Organization Active NPI

Health Specialists of Lenawee P C

  • Specialist
  • Tecumseh, MI
National Provider Identifier
1922185305
Registry record updated May 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LB008900 Issued in MI
Legal business name
HEALTH SPECIALISTS OF LENAWEE P C
Practice address
6869 Occidental Highway
Tecumseh, MI 49286-0130
Phone
(517) 423-6803
Fax
(517) 423-7257
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2009

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

Authorized official

Name
Dr. Dennis Norbert Shelle, M.D.
Title
President
Phone
(517) 423-6803

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X DS047781 MI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AB403854 MI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X BC082902 MI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X LB008900 MI Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X WR082938 MI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X AB074281 MI
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X LF075422 MI

Addresses

Primary practice location

6869 Occidental Highway
Tecumseh, MI 49286-0130

Mailing address

PO Box 130
Tecumseh, MI 49286-0130
Phone (517) 423-6803

Other identifiers 7

IdentifierTypeStateIssuer
2768873MedicaidMI
4165036MedicaidMI
3455247MedicaidMI
4573577MedicaidMI
4597443MedicaidMI
4711421MedicaidMI
4634313MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243555200000",
    "number": "1922185305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492860130",
            "telephone_number": "517-423-6803",
            "fax_number": "517-423-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6869 OCCIDENTAL HIGHWAY",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492860130",
            "telephone_number": "517-423-6803",
            "fax_number": "517-423-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SPECIALISTS OF LENAWEE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-05-29",
        "status": "A",
        "authorized_official_last_name": "SHELLE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "NORBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-423-6803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "DS047781",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "AB403854",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "BC082902",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "LB008900",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "WR082938",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "AB074281",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "LF075422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2768873",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4165036",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3455247",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573577",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4597443",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4711421",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4634313",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.