Active NPI
George Theodore Shybut, M.D.
- Orthopaedic Surgery Physician
- Cincinnati, OH
National Provider Identifier
1023013471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 350559319S
- Practice address
- 4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318 - Phone
- (513) 753-7488
- Fax
- (513) 753-7879
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 350559319S | OH | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 31910 | KY | |
| Orthopaedic Surgery Physician | 207X00000X | 036054951 | IL | |
| Orthopaedic Surgery Physician | 207X00000X | 01041143A | IN |
Addresses
Primary practice location
4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318
Mailing address
4440 Glen Este Withamsville Rd
Suite 500
Cincinnati, OH 45245-1318
Phone (513) 753-7488
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3284491 | Other | OH | CIGNA |
| P00321556 | Other | OH | MEDICARE RAILROAD |
| 000000382638 | Other | OH | ANTHEM |
| 0785011 | Medicaid | OH | |
| 0903535 | Other | OH | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036054951 | IL | MD | Orthopaedic Surgery Physician |
| 01041143A | IN | MD | Orthopaedic Surgery Physician |
| 31910 | KY | MD | Orthopaedic Surgery Physician |
| 350559319S | OH | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Consultants of Cincinnati, Inc. | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Cincinnati, OH
- NPI 1396792529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1023013471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
"address_2": "SUITE 500",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451318",
"telephone_number": "513-753-7488",
"fax_number": "513-753-7879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 GLEN ESTE WITHAMSVILLE RD",
"address_2": "SUITE 500",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451318",
"telephone_number": "513-753-7488",
"fax_number": "513-753-7879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHYBUT",
"first_name": "GEORGE",
"middle_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-14",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "350559319S",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KY",
"license": "31910",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036054951",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "01041143A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3284491",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00321556",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000382638",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0785011",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0903535",
"state": "OH"
}
],
"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 Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.