Active NPI
Shelby County Surgical Assoc Inc
- Surgery Physician
- Sidney, OH
National Provider Identifier
1063565547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SHELBY COUNTY SURGICAL ASSOC INC
- Practice address
- 915 West Michigan Street
Suite 201
Sidney, OH 45365-2491 - Phone
- (937) 492-2094
- Fax
- (937) 492-1768
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon C Maurer
- Title
- Office Manager
- Phone
- (937) 492-2094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
915 West Michigan Street
Suite 201
Sidney, OH 45365-2491
Mailing address
915 W Michigan Street
Suite 201
Sidney, OH 45365-2491
Phone (937) 492-2094
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000026762 | Other | OH | ANTHEM GROUP NUMBER |
| C14899 | Other | OH | TRAVLERS RR GROUP NUMBER |
| 4480806 | Other | OH | AETNA GROUP NUMBER |
| 0703555 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
915 Michigan St
Ste 201
Sidney, OH 45365
Phone (937) 492-2400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323216000000",
"number": "1063565547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W MICHIGAN STREET",
"address_2": "SUITE 201",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453652491",
"telephone_number": "937-492-2094",
"fax_number": "937-492-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 WEST MICHIGAN STREET",
"address_2": "SUITE 201",
"city": "SIDNEY",
"state": "OH",
"postal_code": "453652491",
"telephone_number": "937-492-2094",
"fax_number": "937-492-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY COUNTY SURGICAL ASSOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2011-12-07",
"status": "A",
"authorized_official_last_name": "MAURER",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "937-492-2094",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP NUMBER",
"identifier": "000000026762",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVLERS RR GROUP NUMBER",
"identifier": "C14899",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA GROUP NUMBER",
"identifier": "4480806",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0703555",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.