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G. Daniel Shanahan IV Dpm PC

Foot & Ankle Surgery Podiatrist in Commerce Twp, MI · enumerated 2006 · authorized official George Shanahan, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053417816

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Registry record

Entity type Organization (Type 2)
Legal business name G. Daniel Shanahan IV Dpm PC
Practice address 9640 Commerce Rd Ste 102, Commerce Twp, MI, 48382
Fax (248) 363-0894
Enumeration date Sep 16, 2006
Last updated in NPPES Mar 19, 2015

Taxonomy & classification

213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name George Shanahan
Title Owner

Other identifiers

Identifier Type State Issuer
1770712358 Other - JENNIFER L PETRONELLA DPM NPI NUMBER
5901002333 Other MI JENNIFER L PETRONELLA DPM STATE LICENSE
5901001605 Other MI G DANIEL SHANAHAN IV DPM STATE LICENSE
N78970 Other - MEDICARE GROUP NUMBER
480F321940 Other MI BLUE CROSS BLUE SHIELD
1003818907 Other - G. D SHANAHAN DPM NPI #
1790880284 Other - AIMEE A. POPOFSKI DPM NPI NUMBER
5901002236 Other MI AIMEE A. POPOFSKI STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for G. Daniel Shanahan IV Dpm PC?
The NPI for G. Daniel Shanahan IV Dpm PC is 1053417816, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for G. Daniel Shanahan IV Dpm PC?
NPPES lists George Shanahan (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-19.