Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shyran Jelene Hines-Fenderson, MD

Individual provider Pediatrics Physician · NPI 1699933721

Shyran Jelene Hines-Fenderson, MD is a Pediatric Medicine in Detroit, Michigan. Qualified in 2006, 20 years ago. Practices with Iha Olma Primary Care Risk LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
20
Licensed in
MI
In the registry since
2008
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

4201 Saint Antoine St Ste 9D
Detroit, MI 48201-2153
Phone: (313) 966-5187
Fax: (313) 966-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301088673 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4301088673 (MI)

Record details

NPI number1699933721
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2008
Last updated in NPPESOctober 2, 2019

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Iha Olma Primary Care Risk Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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