SHAWN M DEATS (NPI# 1083184725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083184725 |
| Entity Type | Individual |
| Full Name | SHAWN M DEATS |
| Practice Address |
2495 W Market St Tiffin OH 44883 |
| Mailing Address |
2495 W Market St Tiffin OH 44883-8450 |
| Practice Telephone | 4196186670 |
| Mailing Telephone | 4196186670 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2019-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F09181760 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.024001 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 1083184725 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 140 S High St Apt 511, Columbus, OH 432153591 | 4196186670 | |
| 2495 W Market St, Tiffin, OH 44883 | 4196186670 |
| Street Address |
2495 W MARKET ST |
| City | TIFFIN |
| State | OH |
| Zip Code | 44883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619283504 | Tiffin Convenient Care LLC | Clinic/Center | 2495 W Market St, Tiffin, OH 44883-8450 | 2010-08-30 |
| 1407136658 | Brett Might | Nurse Practitioner | 2495 W Market St, Tiffin, OH 44883-8450 | 2011-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255758 | Aaron Michael Konkle | Pharmacist | 2801 State Route 18, Tiffin, OH 44883 | 2020-11-04 |
| 1487286159 | Sandra Natole | Counselor | 200 St Francis Ave, Tiffin, OH 44883 | 2020-02-10 |
| 1083260988 | Trilogy Healthcare of Tiffin, LLC | Skilled Nursing Facility | 410 Fair Lane, Tiffin, OH 44883 | 2019-08-15 |
| 1801440250 | Kenneth Oswald | Counselor | 3055 S Sr 100, Tiffin, OH 44883 | 2019-07-24 |
| 1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
| 1578033114 | Morgan Leann Fultz | Student in an Organized Health Care Education/Training Program | 310 East Market St, Tiffin, OH 44883 | 2018-11-27 |
| 1568989630 | Alicia Taylor Frank | Speech-Language Pathologist | 797 E. Clinton Tr 201, Tiffin, OH 44883 | 2017-08-29 |
| 1861938920 | Devin Erika Fry | Physical Therapy Assistant | 2550 Oh-100, Tiffin, OH 44883 | 2017-01-13 |
| 1407392608 | Erica Hoffman | Occupational Therapy Assistant | 2550 Oh 100, Tiffin, OH 44883 | 2017-01-11 |
| 1164973509 | Spencers Home Modifications | Contractor | 8 High Pointe Court, Tiffin, OH 44883 | 2016-10-20 |
| Find all providers in zip 44883 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780229906 | Shirley Enders | Nurse Practitioner | 27 St Lawrence Dr Ste 101, Tiffin, OH 44883-8313 | 2019-11-12 |
| 1760767776 | Tammy Sue Murphy | Nurse Practitioner | 45 Lawrence Ave, Tiffin, OH 44883-8310 | 2011-10-21 |
| 1679187926 | Sean Hart | Nurse Practitioner | 2562 W Market St, Tiffin, OH 44883-9005 | 2020-09-03 |
| 1942828223 | Katie Lynne Alford | Nurse Practitioner | 81 Ashwood Dr, Tiffin, OH 44883-2546 | 2020-07-13 |
| 1366078503 | Hannah Marie Vaughn | Nurse Practitioner | 27 St Lawrence Dr Ste 101, Tiffin, OH 44883-8313 | 2020-03-19 |
| 1508406844 | Charlie Palmer | Nurse Practitioner | 81 Ashwood Dr, Tiffin, OH 44883-2546 | 2020-01-15 |
| 1013555788 | Angela M. Lawrence | Nurse Practitioner | 1344 W Seneca Ave, Tiffin, OH 44883-2652 | 2019-12-12 |
| 1730627290 | Lindsay Buffington | Nurse Practitioner | 437 W Market St, Tiffin, OH 44883-2609 | 2017-02-05 |
| 1760849731 | Samantha Ann Dotson | Nurse Practitioner | 455 W Market St, Tiffin, OH 44883-2670 | 2016-01-21 |
| 1831569821 | Cynthia Nye | Nurse Practitioner | 486 W Perry St, Tiffin, OH 44883 | 2015-10-02 |
| Find all providers in TIFFIN | ||||
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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.