Active NPI
Shanna Duffy Stryker, M.D.
- Family Medicine Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.125303
- Practice address
- 2805 Gilbert Ave
Cincinnati, OH 45206-1210 - Phone
- (513) 815-4475
- NPI assigned
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.125303 | OH | |
| Family Medicine Physician | 207Q00000X | 35.125303 | OH | Primary |
Addresses
Primary practice location
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Mailing address
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wright State University Boonshoft School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2805 Gilbert Ave
Cincinnati, OH 45206-1210
Phone (513) 815-4475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.125303 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Equitas Health, Inc | Current | Accepting new patients | |
| Equitas Health,Inc | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| Equitas Health, Inc | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients | |
| City of Cincinnati | Current | Accepting new patients |
Locations
1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308
3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289
2136 W 8th St
Cincinnati, OH 45204
Phone (513) 357-2700
L3842
Columbus, OH 43260
1033 N High St
Columbus, OH 43201
Phone (614) 340-6776
2805 Gilbert Ave
Walnut Hills, OH 45206
Phone (513) 281-4116
Interoperability endpoints
- shanna.stryker.1@15558.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
- NPI 1518227453
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1811900061
-
- Primary Care Clinic/Center
- Cincinnati, OH
- NPI 1093728248
-
- Clinic Pharmacy
- Cincinnati, OH
- NPI 1477112308
-
- Federally Qualified Health Center (FQHC)
- Toledo, OH
- NPI 1063239911
-
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1972097707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1013250596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 GILBERT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2805 GILBERT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452061210",
"telephone_number": "513-815-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRYKER",
"first_name": "SHANNA",
"middle_name": "DUFFY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-02",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.125303",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.125303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.