Dr. Theodore William Shively, DO
Dr. Theodore William Shively, DO is a Family Practice in Novi, Michigan. Graduated from Philadelphia College of Osteopathic Medicine in 1978, 48 years ago. Practices with Primecare Urgent Care PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.
- Years since qualifying
- 48
- Trained at
- Philadelphia College of Osteopathic Medicine
- Licensed in
- MI
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
39555 W 10 Mile Rd Ste 302Novi, MI 48375-2950
Phone: (248) 426-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 5101007588 (MI) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X · Licence 5101007588 (MI) |
Record details
| NPI number | 1780666461 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | November 17, 2005 |
| Last updated in NPPES | December 13, 2011 |
| Mailing address | 39555 W 10 Mile Rd, Suite 302, Novi, MI 48375-2950 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 1978 (48 years in practice) |
| Group practice | Primecare Urgent Care Pllc — 5 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Novi
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Sushma Sadasivan, MD
26850 Providence Pkwy Ste 370, Novi, MI 48374-1213 · (248) 465-4160
-
Mohiman Saffar, MD
26850 Providence Pkwy Ste 375, Novi, MI 48374-1262 · (248) 662-4200
-
Gary Sarafa, MD
25500 Meadowbrook Rd Ste 250, Novi, MI 48375-1883 · (482) 773-1102
-
MS. Asha Shajahan, MD
44130 W Twelve Mile Rd, Novi, MI 48377-2614 · (248) 380-8811
-
Shalini Singh, MD
26850 Providence Pkwy Ste 370, Novi, MI 48374-1213 · (248) 465-4160
-
Emily Block Soni, DO
23985 Novi Rd Ste B102, Novi, MI 48375-5436 · (248) 983-1130
-
Stay Home Wound Care PC
26200 Town Center Dr Ste 165, Novi, MI 48375-1219 · (248) 228-0541
-
Angie R Sweeney, MD
26850 Providence Pkwy Ste 375, Novi, MI 48374-1213 · (248) 662-4200