DR. MARK A. SHAMAN (NPI# 1265486500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265486500 |
| Entity Type | Individual |
| Full Name | DR. MARK A. SHAMAN |
| Credential | M.D. |
| Practice Address |
1535 Gull Rd Suite 200 Kalamazoo MI 49048-1650 |
| Practice Telephone | 2693886350 |
| Practice Fax Number | 2693884738 |
| Mailing Telephone | 2693886350 |
| Mailing Fax Number | 2693884738 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2018-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
4301072271 | MI | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
4301072271 | MI | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
4301072271 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4604969 | 05 | |
| MI | 4840250 | 05 |
| Street Address |
1535 GULL RD SUITE 200 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273855 | Umakant Shivlal Doctor | Internal Medicine | 1535 Gull Rd, Ste 110, Kalamazoo, MI 49048-1630 | 2005-05-23 |
| 1417489931 | Katheryn Elisabeth Clark | Advanced Practice Midwife | 1535 Gull Rd, Suite 250, Kalamazoo, MI 49048-1650 | 2017-04-03 |
| 1649714452 | Susan Doan | Physician Assistant | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-12-13 |
| 1144673070 | Kristen Dib | Advanced Practice Midwife | 1535 Gull Rd, Kalamazoo, MI 49048-1650 | 2016-07-15 |
| 1366897670 | Kalamazoo Acute Care Specialists Plc | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2016-04-25 |
| 1841670510 | Elizabeth Bobo | Nurse Practitioner | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2015-06-08 |
| 1194163246 | Tabitha Jane Ewert | Physician Assistant | 1535 Gull Rd, Suite 200, Kalamazoo, MI 49048-1650 | 2013-06-11 |
| 1578858676 | Michael Robert Mcbride | Emergency Medicine | 1535 Gull Rd, Msb 015, Kalamazoo, MI 49048-1650 | 2011-06-16 |
| 1295979474 | Lewis Jeremy Johnson | Surgery | 1535 Gull Rd, Suite 150, Kalamazoo, MI 49048-1650 | 2009-05-01 |
| 1134361215 | Michael Lee Adix II | Radiology | 1535 Gull Rd, Suite #200, Kalamazoo, MI 49048-1650 | 2009-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in zip 49048 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427228899 | Theodore John Matuga | Radiology | 5534 Bobwhite Ave, Kalamazoo, MI 49009-4593 | 2008-03-02 |
| 1821177205 | James Alexander Gardner | Radiology | 4166 Old Colony Rd, Kalamazoo, MI 49008-3214 | 2006-11-04 |
| 1275518979 | Todd Johnson | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2005-12-14 |
| 1184983769 | David Schaumburg Mosbach | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2012-05-16 |
| 1013204916 | Andrew Forsyth | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2011-06-30 |
| 1558654988 | Andreea Gabriela Moore | Radiology | 524 S Park St, Kalamazoo, MI 49007-5118 | 2011-05-18 |
| 1578791141 | Yulia Valerievna Volokhina | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2009-06-23 |
| 1245410240 | Laurene C. Mann | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 | 2007-11-07 |
| 1801087374 | Brandon Sabah Tominna | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-08-08 |
| 1750503181 | Kenneth D Kreitel | Radiology | 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 | 2007-05-03 |
| Find all providers in KALAMAZOO | ||||
Please comment or provide details below to improve the information on DR. MARK A. SHAMAN.
| 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.