DR. SHANE DOUGLAS MORRISON (NPI# 1386082634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386082634 |
| Entity Type | Individual |
| Full Name | DR. SHANE DOUGLAS MORRISON |
| Credential | MD |
| Practice Address |
24 Frank Lloyd Wright Dr Ann Arbor MI 48105-9484 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349986022 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 4301502473 | MI | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 60474288 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942431952 | Shane Patrick Morrison | Chiropractor | 6070 Indian River Rd, Suite 102, Virginia Beach, VA 23464-3895 | 2009-08-07 |
| 1538725692 | Shane Morrison | Chiropractor | 4275 Harlan St, Wheat Ridge, CO 80033-5119 | 2019-05-14 |
| 1275052615 | Shane Morrison | Counselor | 104 Erin Ct, Hillsboro, OH 45133-8591 | 2017-09-18 |
| Street Address |
24 FRANK LLOYD WRIGHT DR |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
| 1629540992 | Regents of The University of Michigan | Durable Medical Equipment & Medical Supplies | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-12-26 |
| 1477021160 | Lisa Jane Bosio | Registered Nurse | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2018-11-12 |
| 1770073199 | Regents of The University of Michigan | Dietitian, Registered | 24 Frank Lloyd Wright Dr, Dominos Farms Lobby C Suite 1300, Ann Arbor, MI 48106 | 2018-05-10 |
| 1861998411 | Dale Douglas Hazard | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-04-03 |
| 1144724303 | Kanisha Ward | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-22 |
| 1851894109 | Kristy Jo Bonasso | Occupational Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-13 |
| 1932602612 | Eric Kilpatrick | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-09 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
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| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871812438 | Tiffany Ballard | Plastic Surgery | 2300 Washtenaw Ave Ste 100, Ann Arbor, MI 48104-4500 | 2010-05-21 |
| 1790191047 | David William Grant | Plastic Surgery | 1500 East Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2014-07-08 |
| 1851737233 | Michael Sorkin | Plastic Surgery | 1500 E Medical Center Dr, 2128 Taubman Center, Ann Arbor, MI 48109-5340 | 2013-05-13 |
| 1801139845 | Paige L Myers | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2013-03-28 |
| 1801005616 | Christian John Vercler | Plastic Surgery | 1500 East Medical Center Dr, 3rd Floor C.s. Mott Children's Hosp Rm Cw3-978, Ann Arbor, MI 48109-4219 | 2007-05-21 |
| 1417079765 | Jeffrey Hall Kozlow | Plastic Surgery | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105-9484 | 2007-04-06 |
| 1932228871 | Benjamin Levi | Plastic Surgery | 24 Frank Lloyd Wright Dr, Lobby A, Ann Arbor, MI 48105-9484 | 2007-03-29 |
| 1396877064 | Erika Davis Sears | Plastic Surgery | 24 Frank Lloyd Wright Dr, Lovvy A, Ann Arbor, MI 48105-9484 | 2007-03-09 |
| 1629178488 | David L Brown | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2006-09-22 |
| 1851499578 | Riley S Rees | Plastic Surgery | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48106 | 2006-09-20 |
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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.