SHELBY COUNTY SURGICAL ASSOC INC


Address: 915 West Michigan Street, Suite 201, Sidney, OH 45365-2491
Phone: 9374922094

SHELBY COUNTY SURGICAL ASSOC INC (NPI# 1063565547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063565547
Entity Type Organization
Organization Name SHELBY COUNTY SURGICAL ASSOC INC
Practice Address 915 West Michigan Street
Suite 201
Sidney
OH 45365-2491
Mailing Address 915 W Michigan Street
Suite 201
Sidney
OH 45365-2491
Practice Telephone 9374922094
Practice Fax Number 9374921768
Mailing Telephone 9374922094
Mailing Fax Number 9374921768
Enumeration Date 2007-01-19
Last Update Date 2011-12-07
Authorized Official Name MS. SHARON C MAURER (OFFICE MANAGER)
Authorized Official Telephone 9374922094
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH ANTHEM GROUP NUMBER 000000026762 01
OH TRAVLERS RR GROUP NUMBER C14899 01
OH AETNA GROUP NUMBER 4480806 01
OH 0703555 05

Office Location

Street Address 915 WEST MICHIGAN STREET
SUITE 201
City SIDNEY
State OH
Zip Code 45365-2491

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043293137 Robert J Mcdevitt Jr. Surgery 915 West Michigan Street, Suite 201, Sidney, OH 45365-2491 2005-11-22
1932413432 Miguel Topalov Md Inc Specialist 915 West Michigan Street, Suite 302, Sidney, OH 45365 2010-07-27
1982898656 Lisa A Pleiman Nurse Practitioner 915 West Michigan Street, Sidney, OH 45365 2007-09-05
1912128083 Eric John Prenger Family Medicine 915 West Michigan Street, Building A, Sidney, OH 45365 2007-05-02
1447342514 Wilson Memorial Hospital General Acute Care Hospital 915 West Michigan Street, Occupational Health, Sidney, OH 45365-2491 2006-09-28
1124120407 Marcus Miller Preventive Medicine 915 West Michigan Street, Sidney, OH 45365 2006-09-05
1003841941 Donald Eric Newman Emergency Medicine 915 West Michigan Street, Sidney, OH 45365-2491 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750881660 Mary Jean Carpenter Social Worker 2338 Aldrin Dr, Sidney, OH 45365 2018-02-16
1568979045 Healthstat Onsiet Clinic Nk Parts Preventive Medicine 800 S Kuther Rd, Sidney, OH 45365 2018-01-05
1225565427 Courtney Lynn Spearman Speech-Language Pathologist 1152 St. Marys Avenue, Sidney, OH 45365 2017-05-18
1710381439 Tammy Bridenbaugh Nursing Care 1028 N. Broadway, Sidney, OH 45365 2014-10-09
1568897346 Rachelle Kistner Counselor 1065 Fairington Dr, Sidney, OH 45365 2013-09-11
1073955670 Orthopaedic Institute of Ohio, Inc. Durable Medical Equipment & Medical Supplies Wilson Health Michigan Medical Building B, 915 West Michigan Street, Sidney, OH 45365 2013-07-24
1023350394 Honey Gem Drinnen Licensed Practical Nurse 416 Ironwood Drive, Sidney, OH 45365 2013-03-25
1376853325 Jamey Leigh Hepner Nurse Practitioner 1101 N Vandemark Rd, Sidney, OH 45365 2010-10-08
1578701850 Fairlawn Local Schools Local Education Agency (LEA) 18000 Johnston Rd, Sidney, OH 45365 2009-01-26
1730345398 Angela Castle Counselor 1101 N Vandermark Rd., Sidney, OH 45365 2008-08-04
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821309766 Matthew Eugene Jansen Surgery 1000 Pole Creek Crossing Sidney, Ne 69162-, Sidney, NE 69162-2900 2010-06-25
1750460648 James D Thayer Surgery 1000 Pole Creek, Sidney, NE 69162-2900 2006-11-03
1588647580 Andrew David Mcdonald Surgery 915 W Michigan St, Sidney, OH 45365-2491 2005-11-22
1043293137 Robert J Mcdevitt Jr. Surgery 915 West Michigan Street, Suite 201, Sidney, OH 45365-2491 2005-11-22
1184935025 Kelly Joseph Casey Surgery 1000 Pole Creek Crossing, Sidney, NE 69162-2900 2010-06-25
1629156427 Kelly C. O'neal Surgery 214 14th Ave Sw, Sidney, MT 59270-3521 2006-11-01
1902980907 Edward Patrick Bergin Surgery 214 14th Ave Sw, Suite 105, Sidney, MT 59270 2006-10-25
1891717112 Deborah G Harris Surgery 214 14th Ave Sw, Sidney, MT 59270-3521 2006-07-24
1689667115 John Edward Carey Surgery 214 14th Ave Sw, Sidney, MT 59270-3521 2005-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427673839 Omar Sallout Surgery 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 2020-06-11
1487276457 Matthew R Schaeffer Surgery 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 2020-05-13
1851912935 Comprehensive Wound Care Consultants LLC Surgery 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 2020-04-30
1629603725 Anil Vaidya Surgery 100 East Euclid Avenue, Cleveland, OH 44195-0001 2020-03-09
1205473766 Serita Barnard Surgery Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 2019-12-04
1184271520 Moska Hamidi Surgery 9500 Euclid Ave F20, Cleveland, OH 44195 2019-08-21
1760040265 Ohio Bariatrics and Laparoscopy LLC Surgery 7931 Country Brook Ct, Springboro, OH 45066-8469 2019-05-31
1275093122 Michael Curran Surgery 3140 Legacy Trce, Cincinnati, OH 45237-1724 2019-03-25
1760941066 Courtney Lyn Johnson Surgery 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 2019-03-16
1215401518 Tina Lorenz Surgery 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 2019-01-20
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Competitor

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City SIDNEY
Zip Code 45365

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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