SHORES MEDICAL ASSOCIATES PLLC
NPI 1316104094
Internal Medicine in Saint Clair Shores, MI

Active since May 20, 2008
25200 LITTLE MACK AVE, SAINT CLAIR SHORES, MI 48081(586) 774-8720(586) 774-7154 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shores Medical Associates Pllc NPPES

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

SHORES MEDICAL ASSOCIATES PLLC (NPI 1316104094) is a healthcare organization registered as an internal medicine in Saint Clair Shores, Michigan and active in the NPI registry since May 2008. The organization lists Arnold Edwin Ketels, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316104094
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSHORES MEDICAL ASSOCIATES PLLC
Location Address25200 LITTLE MACK AVESaint Clair Shores, MI 48081-2116
Mailing Address25200 Little Mack AveSaint Clair Shores, MI 48081-2116 · (586) 774-8720 · Fax (586) 774-7154
Fax(586) 774-7154
Organization SubpartNo
Authorized OfficialArnold Edwin KetelsCfo · (586) 774-8720
Enumeration DateMay 20, 2008
NPI 1316104094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · CK008071
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25200 LITTLE MACK AVE, Saint Clair Shores, MI 48081

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

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Nurse Practitioner (Family)
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Allergy & Immunology
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081
Family Medicine
25200 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48081

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 Shores Medical Associates PLLC's NPI number?

The NPI number for Shores Medical Associates PLLC is 1316104094. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Shores Medical Associates PLLC located?

Shores Medical Associates PLLC is located at 25200 Little Mack Ave, Saint Clair Shores, MI 48081. The listed phone number is (586) 774-8720.

What is Shores Medical Associates PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Shores Medical Associates PLLC was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.