Individual provider Active NPI

Marina Shpilko, DO

  • Emergency Medicine Physician
  • Westlake, OH
National Provider Identifier
1073741120
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.011281 Issued in OH
Practice address
29000 Center Ridge Road Suite 150
St John West Shore Hospital
Westlake, OH 44145
Phone
(440) 835-8000
NPI assigned
Jun 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 34.011281 OH Primary

Addresses

Primary practice location

29000 Center Ridge Road Suite 150
St John West Shore Hospital
Westlake, OH 44145

Mailing address

1504 Westford Cir
Westlake, OH 44145-6921

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141216001579 OH Practitioner - Emergency Medicine 3072836410 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011281OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Ues Geauga, LLC Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
American Health MW, LLC Past Accepting new patients

Locations

13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593

11100 Euclid Ave
Cleveland Heights, OH 44106

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

27100 Chardon Rd
Richmond Hts, OH 44143
Phone (440) 585-6000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

29000 Center Ridge Rd
Ste 150
Westlake, OH 44145
Phone (440) 827-5261

Interoperability endpoints

  • Direct secure messaging: mshpilko36157@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1073741120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 WESTFORD CIR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441456921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE ROAD SUITE 150",
            "address_2": "ST JOHN WEST SHORE HOSPITAL",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "44145",
            "telephone_number": "440-835-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHPILKO",
        "first_name": "MARINA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-28",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.011281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.