Individual provider Active NPI

Nathan Shane, D.P.M.

  • Podiatrist
  • West Chester, OH
National Provider Identifier
1043606247
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.004061 Issued in OH
Practice address
7690 Discovery Dr
West Chester, OH 45069-6542
Phone
(513) 475-8690
Fax
(513) 475-8629
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005776 IL
Podiatrist 213E00000X 36.004061 OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.004061 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 111825 WI
Foot & Ankle Surgery Podiatrist 213ES0103X 07001318A IN

Addresses

Primary practice location

7690 Discovery Dr
West Chester, OH 45069-6542

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

8591 Crossroads Drive
Youngstown, OH 44514
Phone (330) 758-0577

Other practice location 2

1695 Niles Cortland Rd NE
Warren, OH 44484-1165
Phone (330) 758-0577

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nshane217150@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230717002670 OH Practitioner - Podiatry 2264744200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youngstown Orthopaedic Associates LTDGroup PAC ID 4587559562, 37 clinicians

Practice addresses (Care Compare)

1499 Boardman Canfield Rd
Youngstown, OH 44512-4008
Phone (330) 758-0577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.01 of 100Reported as group
Quality
64.72
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue19
Removal of skin lesions1-10
Removal of nail tissue82
Removal or shaving of skin growth45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005776ILMDFoot & Ankle Surgery Podiatrist
36.004061OHMDFoot & Ankle Surgery Podiatrist
111825WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Youngstown Orthopaedic Associates LTD Foot & Ankle Surgery CurrentSince Sep 4, 2023 Accepting new patients
Youngstown Orthopaedic Associates LTD PastSince Sep 4, 2023 Accepting new patients
Youngstown Orthopaedic Associates LTD PastSince Sep 4, 2023 Accepting new patients

Locations

6470 Tippecanoe Rd
Canfield, OH 44406
Phone (330) 729-2737

1695 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 758-0577

1499 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 758-0577

8591 Crossroads Dr
Youngstown, OH 44514
Phone (330) 758-0577

Interoperability endpoints

  • Direct secure messaging: nshane217150@direct.parkviewexchange.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1043606247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7690 DISCOVERY DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696542",
            "telephone_number": "513-475-8690",
            "fax_number": "513-475-8629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8591 Crossroads Drive",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "44514",
            "country_code": "US",
            "telephone_number": "330-758-0577",
            "fax_number": "330-758-0466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841165",
            "country_code": "US",
            "telephone_number": "330-758-0577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANE",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005776",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.004061",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.004061",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "111825",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001318A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshane217150@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "401 N Sawyer Rd Ste C",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "401 N Sawyer Rd Ste C",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "401 N Sawyer Rd Ste C",
            "city": "Kendallville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "467552568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.