SHELLY MARIE OLES (NPI# 1255568523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255568523 |
| Entity Type | Individual |
| Full Name | SHELLY MARIE OLES |
| Credential | NP |
| Practice Address |
2420 Owen Rd Fenton MI 48430-3417 |
| Practice Telephone | 8104962500 |
| Mailing Telephone | 8104962500 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
4704229825 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2420 OWEN RD |
| City | FENTON |
| State | MI |
| Zip Code | 48430-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821088162 | Soon A Choi | Internal Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2005-10-27 |
| 1619258571 | Dale M Williams | Pharmacist | 2420 Owen Rd, Fenton, MI 48430-3417 | 2011-09-06 |
| 1639351497 | Brian Andrew Michalkow | Dentist | 2420 Owen Rd, Suite E, Fenton, MI 48430-3417 | 2007-12-03 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1780767145 | Larry L Pack Md PC | Orthopaedic Surgery | 2420 Owen Rd, Ste C, Fenton, MI 48430-3417 | 2006-10-21 |
| 1992887046 | David George Drake | Dentist | 2420 Owen Rd, Fenton, MI 48430-3417 | 2006-10-19 |
| 1043309933 | Shaheen K Mohammed | Internal Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2006-10-11 |
| 1538173752 | Steven Nick Glavas | Family Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2006-07-27 |
| 1548230527 | David F Schwarz | Family Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2006-01-24 |
| 1477534774 | Larry L. Pack | Orthopaedic Surgery | 2420 Owen Rd, Ste C, Fenton, MI 48430-3417 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647514 | Drs Mesh, P.C. | Dentist | 15555 Silver Parkway, Fenton, MI 48430 | 2020-07-23 |
| 1225515091 | Erica Anderson | Social Worker | 127 River St., Fenton, MI 48430 | 2018-07-25 |
| 1245767888 | Optimum Balance | Clinic/Center | 1537 N. Leroy Street, Suite D, Fenton, MI 48430 | 2017-05-14 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1366994410 | Intentional Wellbeing LLC | Psychologist | 1122 N. Leroy Rd, Suite A, Fenton, MI 48430 | 2016-10-25 |
| 1265801625 | Shawn Marie Gorkiewicz | Nurse Practitioner | 435 North Leroy, Fenton, MI 48430 | 2015-09-16 |
| 1972994226 | Carrie Hamilton | Physical Medicine & Rehabilitation | 102 N Adelaide St Ste B, Fenton, MI 48430 | 2015-02-09 |
| 1104222520 | Wellbridge of Fenton, LLC | Skilled Nursing Facility | 901 Pine Creek Drive, Fenton, MI 48430 | 2014-11-12 |
| 1225442759 | Joseph Matthew Leppek | Optometrist | 1425 N. Leroy St., Fenton, MI 48430 | 2014-06-12 |
| 1437569647 | Therapy Support Center LLC | Clinic/Center | 113 North River Street, Fenton, MI 48430 | 2014-04-28 |
| Find all providers in zip 48430 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528679305 | Eriko Apriliando | Nurse Practitioner | 15300 Silver Pkwy Apt 208, Fenton, MI 48430-3479 | 2020-08-13 |
| 1902327869 | Thomas Richard Schaefer | Nurse Practitioner | 700 N Leroy St, Fenton, MI 48430-2738 | 2017-06-30 |
| 1104368018 | Elaine Marie Zobrist | Nurse Practitioner | 999 Shadow Pine Dr, Fenton, MO 63026-8312 | 2016-11-08 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1821048372 | William A Andel | Nurse Practitioner | 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | 2006-05-12 |
| 1861920142 | Lauren Melissa Beckmann | Nurse Practitioner | 1055 Bowles Ave Ste 200, Fenton, MO 63026-2308 | 2017-05-31 |
| 1760878839 | Laura Ly Allen | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2015-04-15 |
| 1477981454 | Kathleen Elizabeth Martin | Nurse Practitioner | 1011 Bowles Ave Ste G50, Fenton, MO 63026-0562 | 2013-10-29 |
| 1558799742 | Amanda Nicole Meitz | Nurse Practitioner | 1011 Bowles Ave, Suite 205, Fenton, MO 63026-2395 | 2013-10-24 |
| 1801010251 | Connie L Hoehn Graves | Nurse Practitioner | 1011 Bowles Ave Ste 300, Fenton, MO 63026-2387 | 2007-04-13 |
| Find all providers in FENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.