Individual provider Active NPI

Shamus Concannon Reimold, D.O.

  • Hospitalist Physician
  • Meadville, PA
National Provider Identifier
1063822716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS017974 Issued in PA
Practice address
751 Liberty St
Meadville, PA 16335-2559
Phone
(814) 333-7016
Fax
(814) 333-1757
NPI assigned
May 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X OS017974 PA Primary

Addresses

Primary practice location

751 Liberty St
Meadville, PA 16335-2559

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-7016

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160323001691 PA Practitioner - Family Practice 7012214794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Pennsylvania PCGroup PAC ID 9234309840, 94 clinicians
Doctors of Emergency Medicine of Illinois III, LLCGroup PAC ID 4789121989, 22 clinicians

Practice addresses (Care Compare)

559 W Germantown Pike
Einstein Medical Center Montgomery
East Norriton, PA 19403-4250
Phone (484) 622-1000

751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Emergency Medicine of Illinois III, LLC Hospitalist CurrentSince Jul 1, 2024 Accepting new patients
Meadville Medical Center Past Accepting new patients

Locations

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

Interoperability endpoints

  • Direct secure messaging: shamus.c.reimold@directaddress.net

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 2

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": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063822716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-7016",
            "fax_number": "814-333-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352559",
            "telephone_number": "814-333-7016",
            "fax_number": "814-333-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMOLD",
        "first_name": "SHAMUS",
        "middle_name": "CONCANNON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS017974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.