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G. DANIEL SHANAHAN IV DPM PC
NPI 1053417816
Podiatrist - Foot & Ankle Surgery in Commerce Twp, MI

Active since September 16, 2006
9640 COMMERCE RD STE 102, COMMERCE TWP, MI 48382(248) 360-3888(248) 363-0894 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About G. Daniel Shanahan Iv Dpm Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

G. DANIEL SHANAHAN IV DPM PC (NPI 1053417816) is a healthcare organization registered as a foot & ankle surgery in Commerce Twp, Michigan and active in the NPI registry since September 2006. The organization lists George Daniel Shanahan, Owner, as its authorized official.

NPPES Registry Identity

NPI1053417816
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameG. DANIEL SHANAHAN IV DPM PC
Location Address9640 COMMERCE RD STE 102Commerce Twp, MI 48382-4167
Mailing Address9640 Commerce Rd Ste 102Commerce Twp, MI 48382-4167 · (248) 360-3888 · Fax (248) 363-0894
Phone(248) 360-3888
Fax(248) 363-0894
Organization SubpartNo
Authorized OfficialGeorge Daniel ShanahanOwner · (248) 360-3888
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 19, 2015
✔ NPI 1053417816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
9640 COMMERCE RD STE 102, Commerce Twp, MI 48382
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Other Identifiers 11

Other5901002333MI · Jennifer L Petronella Dpm State License
Medicare NSC4778520001MI
Other5901001605MI · G Daniel Shanahan Iv Dpm State License
Other1003818907G. D Shanahan Dpm Npi #
OtherN78970Medicare Group Number
Other1770712358Jennifer L Petronella Dpm Npi Number
Other5901002236MI · Aimee A. Popofski State License
Medicare UPINU43179
Medicare UPINU61949
Other1790880284Aimee A. Popofski Dpm Npi Number
Other480F321940MI · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEORGE DANIEL SHANAHAN IV DPM
Podiatrist (Foot & Ankle Surgery)
9640 COMMERCE RD STE 102
COMMERCE TWP, MI 48382
Oakland County (248) 360-3888
LAKES SURGICARE CENTER
Clinic/Center (Podiatric)
9640 COMMERCE RD STE 102
COMMERCE TWP, MI 48382
Oakland County (248) 360-3888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is G. Daniel Shanahan IV Dpm PC's NPI number?

The NPI number for G. Daniel Shanahan IV Dpm PC is 1053417816. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is G. Daniel Shanahan IV Dpm PC located?

G. Daniel Shanahan IV Dpm PC is located at 9640 Commerce Rd Ste 102, Commerce Twp, MI 48382. The listed phone number is (248) 360-3888.

What is G. Daniel Shanahan IV Dpm PC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

What insurance does G. Daniel Shanahan IV Dpm PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list G. Daniel Shanahan IV Dpm PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for G. Daniel Shanahan IV Dpm PC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.