Shawn Breeding, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.003445RX Issued in OH

Practice address

627 Edwin C. Moses Blvd
Suite K
Dayton, OH 45417-3474

Phone

(937) 424-1000

Fax

(937) 424-1002

NPI assigned

Feb 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodstream WellnessGroup PAC ID 8527462506, 55 clinicians

Central Clinic Outpatient ServicesGroup PAC ID 3870860380, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Central Clinic Outpatient Services

  • Mental Health Counselor
  • Cincinnati, OH
  • NPI 1326589722
  Medicare reassignment Care Compare group
• Woodstream Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Miamisburg, OH
  • NPI 1265001234
  Medicare reassignment Care Compare group
• Central Clinic Inc Mental Health Access Point

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1881607471
  NPD
• Bobcat Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1124366489

  Physician Assistant

  NPD (past)
• WS Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miamisburg, OH
  • NPI 1225710668
  NPD (past)

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1073885216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 EDWIN C. MOSES BLVD",
            "address_2": "SUITE K",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173474",
            "telephone_number": "937-424-1000",
            "fax_number": "937-424-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 EDWIN C. MOSES BLVD",
            "address_2": "SUITE K",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173474",
            "telephone_number": "937-424-1000",
            "fax_number": "937-424-1002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Albert Sabin Way",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452292838",
            "country_code": "US",
            "telephone_number": "513-558-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Pleasant Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450151135",
            "country_code": "US",
            "telephone_number": "513-868-1562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "SHAWN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-03",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003445RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Brazeau, DO
• Niemah Brazil
• Breaking All Boundaries, LLC
• Christina Brech, MED, RD, LD
• Deborah Smith Bredestege, M.D.
• Tyler M Breeding
• Richard Breidenstein, DO
• Crystal Breighner, M.D.
• James Eugene Breisch, DDS
• Kandi K Brelsford, MSW

• Physician Assistant in Dayton, OH
• Providers in Dayton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.

Verify at the official NPI Registry.