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ST CLAIRE SHORES MEDICAL PLLC
NPI 1316194640
Clinic/Center - Medical Specialty in Saint Clair Shores, MI

Active since August 18, 2008
30140 HARPER AVE, SUITE 300, SAINT CLAIR SHORES, MI 48082(586) 293-1848(586) 293-1869 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Claire Shores Medical Pllc NPPES

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

ST CLAIRE SHORES MEDICAL PLLC (NPI 1316194640) is a healthcare organization registered as a medical specialty in Saint Clair Shores, Michigan and active in the NPI registry since August 2008. The organization lists Bernard W Shelton, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1316194640
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameST CLAIRE SHORES MEDICAL PLLC
Location Address30140 HARPER AVE, SUITE 300Saint Clair Shores, MI 48082-1610
Mailing Address30140 Harper Ave, Suite 300Saint Clair Shores, MI 48082-1610 · (586) 293-1848 · Fax (586) 293-1869
Phone(586) 293-1848
Fax(586) 293-1869
Organization SubpartNo
Authorized OfficialBernard W SheltonSole Proprietor · (586) 293-1868
Enumeration DateAugust 18, 2008
Last NPPES UpdateOctober 8, 2014
✔ NPI 1316194640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in MI · 4301088798
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
30140 HARPER AVE, Saint Clair Shores, MI 48082
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Other Identifiers 6

Other1417032491MI · Npi
Medicaid4945780-10MI
Other0502329MI · Bcbs
Medicare PIN0P62160MI
Medicare UPIN165509MI
Other70-0-F32947-0MI · Bcbs Cpin#

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.

DR. PAUL STEVEN WAINESS DDS
Dentist (General Practice)
30140 HARPER AVE, SUITE 100
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 293-1515
DR. BERNARD W. SHELTON MD
Internal Medicine
30140 HARPER AVE, SUITE 300
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 293-1868
DR. PETER LEONE DDS MS
Dentist (Periodontics)
30140 HARPER AVE, SUITE 200
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 285-9888
MY HOME DOCTORS PLLC
Health Maintenance Organization
30140 HARPER AVE, SUITE 300
SAINT CLAIR SHORES, MI 48082
Macomb County (586) 359-6983

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 St Claire Shores Medical PLLC's NPI number?

The NPI number for St Claire Shores Medical PLLC is 1316194640. It was assigned to this organization in the NPPES registry on August 18, 2008.

Where is St Claire Shores Medical PLLC located?

St Claire Shores Medical PLLC is located at 30140 Harper Ave Suite 300, Saint Clair Shores, MI 48082. The listed phone number is (586) 293-1848.

What is St Claire Shores Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for St Claire Shores Medical PLLC was last updated on October 8, 2014. 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.