NPIMap

Individual provider Active NPI

Shelly L Dunmyer, M.D.

  • Family Medicine Physician
  • Zanesville, OH
National Provider Identifier
1053392555
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35075041D Issued in OH
Practice address
3620 Court Dr
Zanesville, OH 43701-6456
Phone
(740) 454-1248
Fax
(740) 342-6702
NPI assigned
Nov 10, 2005
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35075041D OH Primary

Addresses

Primary practice location

3620 Court Dr
Zanesville, OH 43701-6456

Mailing address

PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304

Other identifiers 1

IdentifierTypeStateIssuer
2078648MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080724000383 OH Practitioner - Family Practice 1153425178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Group of Southeastern Ohio IncGroup PAC ID 8628232469, 61 clinicians

Practice addresses (Care Compare)

3620 Court Dr
Suite K
Zanesville, OH 43701-6455
Phone (740) 454-1248

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35075041DOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Home Primary Care Center Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Perry County Family Practice, Inc. Past Accepting new patients
Perry County Family Practice, Inc. PastSince Sep 28, 2025 Accepting new patients
Trilogy Healthcare Operations of Springfield, LLC Past Accepting new patients
Trilogy Healthcare of Muskingum II, LLC Past Accepting new patients
Trilogy Healthcare of Muskingum, LLC Past Accepting new patients
Trilogy Healthcare of Montgomery LLC Past Accepting new patients
Forest Glen Rehabilitation and Healthcare Center LLC Past Accepting new patients
Thomas P Forrestal Jr Family Medicine Past Accepting new patients
Oaks Rehabilitation and Healthcare Center LLC Past Accepting new patients

Locations

3620 Court Dr
Zanesville, OH 43701
Phone (740) 453-7555

3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: shelly.dunmyer.1@26689.direct.athenahealth.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1053392555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1821",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437021821",
            "telephone_number": "740-455-3304",
            "fax_number": "740-455-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 COURT DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016456",
            "telephone_number": "740-454-1248",
            "fax_number": "740-342-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNMYER",
        "first_name": "SHELLY",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35075041D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078648",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.