Dr Marvin D Shie Iii, MD - Surgery in Lakewood, OH

Dr Marvin D Shie Iii, MD is a Surgery physician based in Lakewood, Ohio. Dr Marvin D Shie Iii is licensed to practice in Ohio (license number 35-035105) and his current practice location is 15644 Madison Avenue, Suite 107, Lakewood, Ohio. He can be reached at his office (for appointments etc.) via phone at (216) 221-7400.

NPI number for Dr Marvin D Shie Iii is 1083699227 and his current mailing address is P.o. Box 74692, Cleveland, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083699227.

Contact Information

Dr Marvin D Shie Iii, MD
15644 Madison Avenue, Suite 107,
Lakewood, OH 44107-5622
(216) 221-7400
(216) 221-7950

Map and Direction




Physician's Profile

Full NameDr Marvin D Shie Iii
GenderMale
SpecialitySurgery
Location15644 Madison Avenue, Lakewood, Ohio
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083699227
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 02/12/2010

Medical Identifiers

Medical identifiers for Dr Marvin D Shie Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083699227NPI-NPPES
0377999MedicaidOH
CA4511OtherRR MEDICARE GROUP
341318336OtherOHFEDERAL TAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35035105S (Ohio)Secondary
208600000XSurgery 35-035105 (Ohio)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marvin D Shie Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marvin D Shie Iii, MD
P.o. Box 74692,
Cleveland, OH 44194-0002

Ph: (440) 895-5021
Dr Marvin D Shie Iii, MD
15644 Madison Avenue, Suite 107,
Lakewood, OH 44107-5622

Ph: (216) 221-7400

Reviews and Comments


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