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NPISignal

Individual Healthcare Provider

Shana Lynn Radomski, MPT, DO

NPI Record: ActivePsychiatry & Neurology — Neurology
NPI1962931865
Wyoming, Michigan

Provider's NPPES record last updated: July 13, 2026

Overview

Entity Type
Individual Healthcare Provider
NPI
1962931865
Primary Specialty
Psychiatry & Neurology — Neurology
Practice Location
Wyoming, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 9:09 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Neurology

    Allopathic & Osteopathic Physicians

    Primary

    A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

    Taxonomy code 2084N0400X
  • Psychiatry & Neurology

    Vascular Neurology

    Allopathic & Osteopathic Physicians

    Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

    Taxonomy code 2084V0102X

Provider-Reported License Information

Psychiatry & Neurology (Michigan)
5101023264
Psychiatry & Neurology (Illinois)
036181040
Psychiatry & Neurology (Illinois)
036181040
Psychiatry & Neurology (North Carolina)
2022-02097
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5900 Byron Center Ave Sw

Wyoming, Michigan 49519-9606

Phone: (616) 252-5790

Additional Practice Location

22255 Greenfield Rd Ste 550

Southfield, Michigan 48075-3730

Phone: (844) 576-9226

Fax: (248) 721-4936

Additional Practice Location

3333 Silas Creek Pkwy

Winston Salem, North Carolina 27103-3013

Phone: (336) 718-7224

Fax: (336) 718-7598

Record Information

Enumeration Date
June 6, 2017
Provider's NPPES Record Last Updated
July 13, 2026
Certification Date
July 13, 2026
NPISignal NPPES Dataset
August 2026

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