DR. FAYEK NICHOLAS SHAMMA


Address: 3145 W Clark Rd, Ste 301, Ypsilanti, MI 48197-1120
Phone: 7344344766

DR. FAYEK NICHOLAS SHAMMA (NPI# 1962408161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962408161
Entity Type Individual
Full Name DR. FAYEK NICHOLAS SHAMMA
Credential MD
Practice Address 3145 W Clark Rd
Ste 301
Ypsilanti
MI 48197-1120
Mailing Address 5400 Mackinaw Rd
Ste 2400
Saginaw
MI 48604-9532
Practice Telephone 7344344766
Practice Fax Number 7344343880
Mailing Telephone 9897928771
Mailing Fax Number 9897922798
Enumeration Date 2005-06-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 35065228 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH OHIO LICENSE # 35065228 01

Office Location

Street Address 3145 W CLARK RD
STE 301
City YPSILANTI
State MI
Zip Code 48197-1120

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578011615 Justin Diebold Physical Therapist 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 2016-09-19
1588112619 Ronald P. Adelman Dpm Pllc Podiatrist 3145 W Clark Rd, #201, Ypsilanti, MI 48197-1120 2016-09-19
1548717713 Charlotte Cahill Physical Therapist 3145 W Clark Rd, 106, Ypsilanti, MI 48197-1120 2016-09-06
1699149997 Patricia Watkins Registered Nurse 3145 W Clark Rd, Suite 303, Ypsilanti, MI 48197-1120 2015-11-24
1316321136 Nathan Kangas Physical Therapist 3145 W Clark Rd, Ste 102, Ypsilanti, MI 48197-1120 2015-07-10
1801276274 Washtenaw Podiatry Group, LLC Podiatrist 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197-1120 2015-06-01
1689061467 Chelsea Professional Services Internal Medicine 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197-1120 2015-04-20
1346632106 Kevern Hartmann Physical Therapist 3145 W Clark Rd, Suite 102, Ypsilanti, MI 48197-1120 2015-03-03
1952793804 Cara House Physical Therapist 3145 W Clark Rd, Ypsilanti, MI 48197-1120 2015-03-02
1770975088 Leanne Camara Physical Therapist 3145 W Clark Rd, Ste 102, Ypsilanti, MI 48197-1120 2015-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700423092 Devika Dibya Choudhuri Counselor 135 Porter West Circle Drive, Ypsilanti, MI 48197 2019-12-05
1770128837 Brian Lee Shue Registered Nurse 6277 Maplehurst Dr, Ypsilanti, MI 48197 2019-11-13
1639721566 Darlene E Bellers 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 2019-07-11
1073165874 Eastern Michigan University Dietitian, Registered Suite 160 Rackham, Ypsilanti, MI 48197 2019-07-11
1447815469 Rainbow Rehabilitation Centers, Inc. Community Based Residential Treatment Facility, Mental Illness 6200 Textile Rd, Ypsilanti, MI 48197 2019-05-06
1417416298 Justin Brewer Student in an Organized Health Care Education/Training Program 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 2019-03-19
1124519780 Great Lakes Mindfulness LLC Community/Behavioral Health 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 2018-05-19
1841799715 Bedside Angel's Home Care, LLC Home Health 2032 S. Congress Street, Ypsilanti, MI 48197 2018-02-06
1891211777 Brandon James Kukal Specialist/Technologist 799 N Hewitt, Ypslinati, MI 48197 2017-08-22
1669908737 Michael Bekkerman Student in an Organized Health Care Education/Training Program 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 2017-05-10
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396805834 Pooja Mittal Green Obstetrics & Gynecology 4918 W Clark Rd Ste 104, Ypsilanti, MI 48197-1142 2006-12-12
1841368081 Robert Stager Obstetrics & Gynecology 5333 Mcauley Dr Rm 2108, Ypsilanti, MI 48197-1096 2006-12-04
1184070690 Laura Marie Ruch Obstetrics & Gynecology 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 2016-05-13
1437533064 Iha Health Services Corporation Obstetrics & Gynecology 5333 Mcauley Dr, Ste 2110, Ypsilanti, MI 48197-1014 2015-07-14
1710374376 Sara Muszynski Obstetrics & Gynecology 4936 W Clark Rd Ste 100, Ypsilanti, MI 48197-0861 2015-04-22
1124425285 Iha Health Services Corporation Obstetrics & Gynecology 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 2014-12-04
1033524962 Katharine Micallef Obstetrics & Gynecology 5333 Mcauley Dr Rm 2110, Ypsilanti, MI 48197-1097 2014-06-30
1740609122 Jade Burch Obstetrics & Gynecology 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197-1014 2014-04-14
1780002568 Caitlin Callahan Parker Obstetrics & Gynecology 4936 W Clark Rd Ste 100, Ypsilanti, MI 48197-0861 2014-03-31
1659614683 Ayesha Afrah Khan Obstetrics & Gynecology 5333 Mcauley Dr, Suite 2110, Ypsilanti, MI 48197 2013-03-27
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City YPSILANTI
Zip Code 48197

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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