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SHINING SHIELD MEDICAL GROUP, PC
NPI 1649709502
Family Medicine in Marne, MI

Active since June 05, 2017
15140 16TH AVE, MARNE, MI 49435(269) 704-7563 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shining Shield Medical Group, Pc NPPES

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

SHINING SHIELD MEDICAL GROUP, PC (NPI 1649709502) is a healthcare organization registered as a family medicine in Marne, Michigan and active in the NPI registry since June 2017. The organization lists Anthony Janas, President, as its authorized official.

NPPES Registry Identity

NPI1649709502
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHINING SHIELD MEDICAL GROUP, PC
Location Address15140 16TH AVEMarne, MI 49435-9605
Mailing Address207 Capital Ave NeBattle Creek, MI 49017-3926 · (269) 266-2863 · Fax (269) 964-5740
Phone(269) 704-7563
Organization SubpartNo
Authorized OfficialAnthony JanasPresident · (269) 589-1056
Enumeration DateJune 5, 2017
✔ NPI 1649709502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X
15140 16TH AVE, Marne, MI 49435
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SERENITY POINT RECOVERY INC
Substance Abuse Rehabilitation Facility
15140 16TH AVE
MARNE, MI 49435
Ottawa County (616) 209-0600

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 Shining Shield Medical Group, PC's NPI number?

The NPI number for Shining Shield Medical Group, PC is 1649709502. It was assigned to this organization in the NPPES registry on June 5, 2017.

Where is Shining Shield Medical Group, PC located?

Shining Shield Medical Group, PC is located at 15140 16th Ave, Marne, MI 49435. The listed phone number is (269) 704-7563.

What is Shining Shield Medical Group, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Shining Shield Medical Group, PC was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.