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Shores Primary Care, P.C.

Legal Medicine in Saint Clair Shores, MI · enumerated 2007 · authorized official Ronald Barnett, Owner.

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

National Provider Identifier

1629110804

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Registry record

Entity type Organization (Type 2)
Legal business name Shores Primary Care, P.C.
Practice address 28001 Harper Ave, Saint Clair Shores, MI, 48081
Fax (586) 279-0033
Enumeration date Feb 13, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

173000000X Legal Medicine Other Service Providers Primary

Authorized official

Name Ronald Barnett
Title Owner

Other identifiers

Identifier Type State Issuer
0N67900 Other MI HAP,OUT OF NETWORK
E83365 Other MI HEALTH CHOICE HAP
4541715 Medicaid MI -
022739 Other MI MIDWEST HEALTH PLAN
107599PC Other MI CARE CHOICES
4541715 Other MI MOLINA HEALTH CARE OF MI
0004122882 Other MI AETNA
022739 Other MI MIDWEST MEDICARE ADVANTAG
141770 Other MI GREAT LAKES HEALTH PLAN
E83365 Other MI HEALTH ALLIANCE PLAN
700EO0079-0 Other MI BLUE CROSS BLUE SHIELD

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 Shores Primary Care, P.C.?
The NPI for Shores Primary Care, P.C. is 1629110804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Shores Primary Care, P.C.?
NPPES lists Ronald Barnett (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 2022-07-21.