DR. JENNY PHU SHIH (NPI# 1457511040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457511040 |
| Entity Type | Individual |
| Full Name | DR. JENNY PHU SHIH |
| Other Name | DR. JENNY YEE-NGOI PHU |
| Credential | D.O. |
| Practice Address |
21040 Greenfield Rd Oak Park MI 48237-3025 |
| Mailing Address |
7700 2nd Ave Detroit MI 48202-2411 |
| Practice Telephone | 2489676538 |
| Practice Fax Number | 2489676552 |
| Mailing Telephone | 3132028660 |
| Mailing Fax Number | 3132028653 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101017681 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS GROUP NUMBER | 700H231390 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140741 | Jenny A Shih | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2019-05-24 |
| 1972700318 | Jenny L Shih | Pediatrics | 125 Walker St Fl 2, New York, NY 10013-4135 | 2007-06-29 |
| Street Address |
21040 GREENFIELD RD |
| City | OAK PARK |
| State | MI |
| Zip Code | 48237-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891899852 | The Wellness Plan | Pharmacy | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-09-12 |
| 1457851511 | Cheryl Lynn Sanders | Pharmacist | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2018-02-15 |
| 1871048470 | Konwre Gordon | Nurse Practitioner | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2016-08-24 |
| 1558614289 | The Wellness Plan Medical Centers | Obstetrics & Gynecology | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2012-10-18 |
| 1083908081 | Betts Medical Group LLC | Internal Medicine | 21040 Greenfield Rd, Ste 200, Oak Park, MI 48237-3025 | 2011-06-07 |
| 1982863478 | The Wellness Plan Medical Centers | Clinic/Center | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2008-06-09 |
| 1023108792 | Patricia Abinoja | Pediatrics | 21040 Greenfield Rd, Oak Park, MI 48237-3025 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395459 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 25940 Greenfield Rd, Oak Park, MI 48237 | 2020-04-22 |
| 1497397202 | Kimberly Wallace Md PC | Clinic/Center | 12900 W 9 Mile Road, Oak Park, MI 48237 | 2019-10-14 |
| 1174009211 | Jo-anne Spencer Woodard | Social Worker | 23300 Greenfield, Suite 122, Oak Park, MI 48237 | 2018-07-12 |
| 1285163600 | Yolanda Alicia Winters-byrdo | Social Worker | 18712 Quarry Rd., Riverview, MI 48237 | 2017-06-08 |
| 1972059699 | Cynthia F Lewis | Technician, Other | 15251 Kenwood St., Oak Park, MI 48237 | 2016-09-01 |
| 1083039531 | Tema Pefok | Home Health Aide | 21930 Harding St, Oak Park, MI 48237 | 2014-02-20 |
| 1073937116 | A1 Home Help Services | Home Health | 21700 Green Field Road, 253, Oak Park, MI 48237 | 2014-02-10 |
| 1629346648 | Mitun Chablani | Physical Therapist | 25900 Greenfield Rd Ste 110, Oak Park, MI 48237 | 2011-12-05 |
| 1841575891 | Hazy Mindful Care Giving Agency Inc | Hospice Care, Community Based | 21700 Greenfield, Ste 264, Oakpark, MI 48237 | 2011-10-20 |
| 1710101688 | Andrew Hardy Jr. | Internal Medicine | 22100 Greenfield Road, Oak Park, MI 48237 | 2007-04-12 |
| Find all providers in zip 48237 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559303 | I2 Medicine LLC | Family Medicine | 1100 Lake St Ste 125, Oak Park, IL 60301-6702 | 2019-07-15 |
| 1629507975 | Steven Dewilde | Family Medicine | 25900 Greenfield Rd Ste 413, Oak Park, MI 48237-1286 | 2017-06-09 |
| 1073045266 | Kathryn Vanbuskirk | Family Medicine | 1010 Lake St Ste 301, Oak Park, IL 60301-1133 | 2017-03-28 |
| 1770933194 | Christina L Kimbrough Pllc | Family Medicine | 23300 Greenfield Rd Ste 222, Oak Park, MI 48237-8411 | 2016-06-16 |
| 1699116186 | Amrit Kaur Rao | Family Medicine | 3 Erie Ct Ste 1300, Oak Park, IL 60302-2519 | 2013-07-11 |
| 1427495241 | Alison Linn Sage | Family Medicine | 932 Lake St Ste 300, Oak Park, IL 60301-1204 | 2013-06-03 |
| 1982968806 | Monica Singhvi | Family Medicine | 610 S Maple Ave Ste 4600, Oak Park, IL 60304 | 2012-06-25 |
| 1316236987 | Kristin M Baier | Family Medicine | 932 Lake St, Oak Park, IL 60301 | 2011-04-04 |
| 1972815033 | Muneeb Qadri | Family Medicine | 601 South Blvd Apt F, Oak Park, IL 60302-2942 | 2010-07-06 |
| 1164661393 | Tatiana Claudia Doyle | Family Medicine | 501 N. Linden Ave, Oak Park, IL 60302 | 2009-02-11 |
| Find all providers in OAK PARK | ||||
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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.