Active NPI
Samantha Shirk, D.O.
- Gynecology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 34.015657
- Practice address
- 375 Dixmyth Ave
Cincinnati, OH 45220-2475 - Phone
- (513) 862-3423
- Fax
- (513) 862-4358
- NPI assigned
- Apr 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 2019-00125 | NC | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 02006797A | IN | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 05208 | KY | |
| Gynecology Physician | 207VG0400X | 34.015657 | OH | Primary |
Addresses
Primary practice location
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Mailing address
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-4723
375 Dixmyth Ave
Suite 3135
Cincinnati, OH 45220-2475
Phone (513) 862-3452
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2465
Hospital & facility affiliations
- Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015657 | OH | MD | Gynecology Physician |
| 02006797A | IN | MD | Maternal & Fetal Medicine Physician |
| 05208 | KY | MD | Maternal & Fetal Medicine Physician |
| 2019-00125 | NC | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Hospital Medical Specialists LLC | Multi-Specialty | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Multi-Specialty | Current | Accepting new patients |
| Trihealth H LLC | Multi-Specialty | Current | Accepting new patients |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Trihealth G LLC | Multi-Specialty | Past | Accepting new patients |
| Trihealth Physician Institute | Multi-Specialty | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
2123 Auburn Ave
Ste 120
Cincinnati, OH 45219
Phone (513) 245-3113
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
375 Dixmyth Ave
Ste 8672
Cincinnati, OH 45220
Phone (513) 862-6200
2123 Auburn Ave
Ste 122
Cincinnati, OH 45219
Phone (513) 381-1400
375 Dixmyth Ave
Ste 3672
Cincinnati, OH 45220
Interoperability endpoints
- sshirk149515@direct.trihealth.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.
-
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
IN, Multi-Specialty
-
- Urology Physician
- Cincinnati, OH
- NPI 1124341649
Multi-Specialty
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1053708446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-3423",
"fax_number": "513-862-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 DIXMYTH AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452202475",
"telephone_number": "513-862-3423",
"fax_number": "513-862-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRK",
"first_name": "SAMANTHA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-23",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "NC",
"license": "2019-00125",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "IN",
"license": "02006797A",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "KY",
"license": "05208",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OH",
"license": "34.015657",
"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 Nov 1, 2023; 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.