EUGENE M SHATZ MD - NPI 1679553010 - Pediatrics in Grand Rapids, MI

Q: What is Eugene Shatz's NPI number?

The NPI number for Eugene Shatz is 1679553010. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Q: What is Eugene Shatz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Eugene Shatz was last updated on November 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Eugene M Shatz Md NPPES

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

EUGENE M SHATZ MD (NPI 1679553010) is an individual adolescent medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301062068) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1679553010

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameEUGENE M SHATZCredential: MD

Location Address330 BARCLAY AVE NE, STE 203Grand Rapids, MI 49503-2556

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-2123

Sole ProprietorNo

Enumeration DateJanuary 20, 2006

Last NPPES UpdateNovember 15, 2013

✔ NPI 1679553010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in MI · 4301062068

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 4301062068 (MI)

330 BARCLAY AVE NE, Grand Rapids, MI 49503

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