Individual provider Active NPI

Peter P Shaman, MD

  • Obstetrics & Gynecology Physician
  • Clarkston, MI
National Provider Identifier
1932158326
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301061627 Issued in MI
Practice address
6770 Dixie Hwy
Suite 313
Clarkston, MI 48346-2087
Phone
(248) 625-8555
Fax
(248) 625-3637
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301061627 MI Primary

Addresses

Primary practice location

6770 Dixie Hwy
Suite 313
Clarkston, MI 48346-2087

Mailing address

6770 Dixie Hwy
Suite 313
Clarkston, MI 48346-2087
Phone (248) 625-8555

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060714000089 MI Practitioner - Obstetrics/Gynecology 8527071596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iha Olma Specialty Services LLCGroup PAC ID 8426464884, 42 clinicians

Practice addresses (Care Compare)

6770 Dixie Hwy
Suite 313
Clarkston, MI 48346-5114
Phone (248) 625-8555

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301061627MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Olma Specialty Services LLC Obstetrics & Gynecology CurrentSince Aug 30, 2021 Accepting new patients
SJMH Medical Practice-SMHC Obstetrics & Gynecology CurrentSince Oct 21, 2010 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Oct 21, 2010 Accepting new patients
Iha Olma Specialty Services LLC CurrentSince Aug 30, 2021 Accepting new patients
Peter Shaman, M.D., PC Obstetrics & Gynecology PastSince Sep 7, 2005 Accepting new patients
St Joseph Mercy Hospital-SMHC Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

1750 S Telegraph Rd
Ste 108
Bloomfield Hills, MI 48302
Phone (248) 334-4505

6770 Dixie Hwy
Ste 313
Clarkston, MI 48346
Phone (248) 625-8555

6770 Dixie Hwy
Ste 303
Clarkston, MI 48346
Phone (248) 625-0030

36475 5 Mile Rd
Livonia, MI 48154
Phone (734) 464-4800

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

1854 W Auburn Rd
Ste 100B
Rochester Hills, MI 48309
Phone (248) 218-9260

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932158326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE 313",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-625-8555",
            "fax_number": "248-625-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 DIXIE HWY",
            "address_2": "SUITE 313",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462087",
            "telephone_number": "248-625-8555",
            "fax_number": "248-625-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMAN",
        "first_name": "PETER",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301061627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.