Active NPI
Philip Ronald Shands, M.D.
- Ophthalmology Physician
- Cleveland, OH
National Provider Identifier
1104929967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35-051589
- Practice address
- 10701 East Blvd
Cleveland, OH 44106-1702 - Phone
- (216) 791-3800
- Fax
- (216) 229-2390
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35-051589 | OH | Primary |
Addresses
Primary practice location
10701 East Blvd
Cleveland, OH 44106-1702
Mailing address
1001 Lakeside Ave E
#1200
Cleveland, OH 44114-1158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0906201 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Health Services | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Circle Health Services | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
12201 Euclid Ave
Cleveland, OH 44106
Phone (216) 373-2846
10 Severance Cir
Cleveland Heights, OH 44118
Phone (216) 297-2600
12301 Snow Rd
Parma Heights, OH 44130
Phone (216) 285-8810
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.
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1386609857
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1396552949
-
- Pharmacy
- Cleveland, OH
- NPI 1992529911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1104929967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 LAKESIDE AVE E",
"address_2": "#1200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441141158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 EAST BLVD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061702",
"telephone_number": "216-791-3800",
"fax_number": "216-229-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANDS",
"first_name": "PHILIP",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35-051589",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0906201",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.