Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marvin D Shie III, MD

Individual provider Surgery Physician · NPI 1083699227

Dr. Marvin D Shie III, MD is a Surgery Physician in Lakewood, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15644 Madison Ave Ste 107
Lakewood, OH 44107-5622
Phone: (216) 221-7400
Fax: (216) 221-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 35-035105 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35035105S (OH)

Record details

NPI number1083699227
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 9, 2005
Last updated in NPPESFebruary 12, 2010

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