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DR. MARVIN D SHIE III M.D.
NPI 1083699227
Surgery in Lakewood, OH

Active since December 09, 2005
15644 MADISON AVENUE, SUITE 107, LAKEWOOD, OH 44107(216) 221-7400(216) 221-7950 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marvin D Shie Iii M.d. NPPES

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

DR. MARVIN D SHIE III M.D. (NPI 1083699227) is an individual surgery provider in Lakewood, Ohio, licensed in Ohio (35-035105) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1083699227
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARVIN D SHIE IIICredential: M.D.
Location Address15644 MADISON AVENUE, SUITE 107Lakewood, OH 44107-5622
Mailing AddressP.o. Box 74692Cleveland, OH 44194-0002 · (440) 895-5021 · Fax (440) 895-5050
Phone(216) 221-7400
Fax(216) 221-7950
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1083699227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 35-035105✔ Licensed in OH · 35035105S
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
15644 MADISON AVENUE, Lakewood, OH 44107
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Other Identifiers 5

OtherCA4511Rr Medicare Group
Medicaid0377999OH
Medicare PIN0475442OH
Medicare UPINB96480OH
Other341318336OH · Federal Tax Id

Other Providers at the Same Location NPPES

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

MS. MARLENE FRANCES KURZ P.C.C.
Counselor (Mental Health)
15644 MADISON AVENUE, SUITE #108
LAKEWOOD, OH 44107
Cuyahoga County (216) 391-8336

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 Marvin Shie's NPI number?

The NPI number for Marvin Shie is 1083699227. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Marvin Shie located?

Marvin Shie practices at 15644 Madison Avenue Suite 107, Lakewood, OH 44107. The listed phone number is (216) 221-7400.

What is Marvin Shie's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Marvin Shie was last updated on February 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.