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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
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 |
Street Address |
915 WEST MICHIGAN STREET SUITE 201 |
City | SIDNEY |
State | OH |
Zip Code | 45365-2491 |
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 |
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 |
Find all providers in zip 45365 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
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. |
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 |
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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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.