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

Shane Douglas Martin, DO

Individual provider Surgery Physician · NPI 1386872588

Shane Douglas Martin, DO is a General Surgery in Midland, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2009, 17 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2009
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.

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Practice location Address checks out

4201 Campus Ridge Dr
Midland, MI 48640
Phone: (989) 839-1795
Fax: (989) 839-1785
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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 5101018126 (MI)

Record details

NPI number1386872588
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESNovember 3, 2016
Mailing address4201 Campus Ridge Drive, Midland, MI 48640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Midland