Individual provider Active NPI

Shanna Duffy Stryker, M.D.

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1013250596
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.125303 Issued in OH
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

Updated by the provider on Jun 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821003453 OH Practitioner - Family Practice 0143463570 Reassigns benefits to 2 organizations

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
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

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

LicenseStateTypeSpecialty
35.125303OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Aug 1, 2020 Accepting new patients
Equitas Health,Inc Current Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2018 Accepting new patients
Equitas Health, Inc CurrentSince Aug 1, 2020 Accepting new patients
City of Cincinnati CurrentSince Aug 1, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.