DR. SHAWN PETER NELSON (NPI# 1700854312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700854312 |
| Entity Type | Individual |
| Full Name | DR. SHAWN PETER NELSON |
| Credential | D.C. |
| Practice Address |
27200 Harper Ave Ste B Saint Clair Shores MI 48081-1909 |
| Mailing Address |
660 Cook Rd Grosse Pointe Woods MI 48236-2710 |
| Practice Telephone | 5869400294 |
| Practice Fax Number | 9494048415 |
| Mailing Telephone | 5869400294 |
| Mailing Fax Number | 9494048415 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | SN008562 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4431562 | 05 | |
| MI | BLUE CARE NETWORK | 1700854312 | 01 |
| BCBS OF MICHIGAN | OE07214 | 01 | |
| MI | LICENSE | SN008562 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497037782 | Shawn Patrick Nelson | Pharmacist | 12387 Yellow Bluff Dr, Jacksonville, FL 32226-2025 | 2011-09-13 |
| 1891848149 | Shawn P Nelson | Optometrist | 2815 16th St Sw, Minot, ND 58701-6914 | 2007-01-19 |
| 1497768261 | Shawn D Nelson | Nurse Anesthetist, Certified Registered | 400 N Holtzclaw Ave, Chattanooga, TN 37404-1916 | 2006-08-14 |
| 1346233020 | Shawn Keith Nelson | Psychiatry & Neurology | 3183 W State St, Suite 1201, Bristol, TN 37620-1712 | 2005-08-26 |
| Street Address |
27200 HARPER AVE STE B |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154958536 | Ashley Budnik | Chiropractor | 23215 Nine Mack Dr, Saint Clair Shores, MI 48080-1969 | 2020-03-25 |
| 1134324809 | James L Osiwala | Chiropractor | 32004 Harper Ave, Saint Clair Shores, MI 48082-1419 | 2007-06-20 |
| 1346469939 | Jeffrey Koenigbauer | Chiropractor | 22125 Greater Mack Ave, Saint Clair Shores, MI 48080-2331 | 2007-04-24 |
| 1477607679 | Bryan A. Baetens, D.c., P.C. | Chiropractor | 26000 Harper Avenue, Suite A, Saint Clair Shores, MI 48081 | 2007-01-23 |
| 1629143854 | Gerald D Klida | Chiropractor | 21617 East Nine Mile Rd, Saint Clair Shores, MI 48080-1811 | 2006-11-22 |
| 1366529422 | John Joseph Migliazzo | Chiropractor | 28404 Harper Ave, Saint Clair Shores, MI 48081-1607 | 2006-11-01 |
| 1982719506 | Steven V Siu | Chiropractor | 27889 Harper Ave, Saint Clair Shores, MI 48081-1542 | 2006-08-21 |
| 1588678353 | Timothy John Murray | Chiropractor | 31388 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-07-28 |
| 1386675957 | Bryan Alan Baetens | Chiropractor | 26000 Harper Avenue Suite A, Saint Clair Shores, MI 48081 | 2006-07-05 |
| 1750326005 | Michael Charles Johr | Chiropractor | 27200 Harper Ave, Suite B, Saint Clair Shores, MI 48081-1909 | 2006-06-19 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on DR. SHAWN PETER NELSON.
| 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.