SHELLEY LYNN ANDERSON (NPI# 1780661546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780661546 |
| Entity Type | Individual |
| Full Name | SHELLEY LYNN ANDERSON |
| Credential | MD |
| Practice Address |
1915 Holton Rd Muskegon MI 49445-1533 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2316723333 |
| Practice Fax Number | 2316726520 |
| Mailing Telephone | 2317274444 |
| Mailing Fax Number | 2317274789 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301067455 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4287683 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1992210405 | Shelley L. Anderson | Social Worker | 140 Riverside Dr Ste 1-o, New York, NY 10024-2605 | 2017-12-06 |
| 1245686708 | Shelley Anderson | Chiropractor | 13861 Folkestone Cir Apt D, Wellington, FL 33414-7829 | 2016-05-13 |
| 1265813745 | Shelley Lynn Anderson | Audiologist | 57 Grant Dr Ste F, Pittsboro, NC 27312-9975 | 2015-06-10 |
| 1255980181 | Shelley Anne Anderson | Physical Therapist | 5018 Cahaba River Road, Birmingham, AL 35243-2317 | 2019-09-04 |
| 1457812299 | Shelley Anderson | Nurse Practitioner | 1021 Darrington Dr Ste 201, Cary, NC 27513-8157 | 2019-03-26 |
| 1134608938 | Shelley Anderson | Physical Therapist | 4501 Tradition Trl, Plano, TX 75093-5610 | 2018-08-13 |
| 1225515414 | Shelley Ann Anderson | Counselor | 793 Old Route 119 Hwy North, Indiana, PA 15701 | 2018-07-20 |
| 1487195145 | Shelley Anderson | Physician Assistant | 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 | 2017-03-14 |
| 1770805988 | Shelley Anderson | Occupational Therapist | 4109 Highway 98 W, Summit, MS 39666-9132 | 2010-02-16 |
| Street Address |
1915 HOLTON RD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49445-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407640 | Eliza Rebecca Sudbury | Nurse Practitioner | 1915 Holton Rd, Muskegon, MI 49445-1533 | 2015-01-20 |
| 1972533396 | David K Wilson | Family Medicine | 1915 Holton Rd, Muskegon, MI 49445-1533 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| 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 |
|---|---|---|---|---|
| 1619485398 | Hackley Community Care Center Inc | Family Medicine | 481 S Wolf Lake Rd Ste A, Muskegon, MI 49442-3033 | 2018-01-17 |
| 1306083050 | Gregory Theophill Sobczak | Family Medicine | 1327 Meadowview Dr, Muskegon, MI 49441-7011 | 2009-01-17 |
| 1952482424 | David Streeter | Family Medicine | 1710 Grevel Ct, Muskegon, MI 49444-7729 | 2006-10-18 |
| 1780779298 | Erwin Leroy Grasman | Family Medicine | 420 Whitehall Rd, Muskegon, MI 49445 | 2006-10-03 |
| 1770687089 | Ruth A Walkotten | Family Medicine | 2947 Russell Rd, Muskegon, MI 49445 | 2006-09-08 |
| 1407870009 | Homebound Wellness Solutions, P.C. | Family Medicine | 5828 Jefferson Ave, Muskegon, MI 49442-1958 | 2006-07-27 |
| 1861426348 | Thomas Lee Watkins | Family Medicine | 855 Oakridge Rd., Muskegon, MI 49441-4023 | 2006-07-10 |
| 1952347262 | Fred R Rollins | Family Medicine | 1790 Oak Ave, Muskegon, MI 49442-2407 | 2006-06-22 |
| 1992749014 | Hpcn | Family Medicine | 6401 Prairie Street, Suite 2600, Muskegon, MI 49444 | 2006-06-16 |
| 1669411088 | Branden Bruhn | Family Medicine | 1864 Lakeshore Drive, Muskegon, MI 49441 | 2006-06-05 |
| Find all providers in MUSKEGON | ||||
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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.