Individual provider Active NPI

Shawn C Ward, DPM

  • Podiatrist
  • Lima, OH
National Provider Identifier
1114923398
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003056W Issued in OH
Practice address
1138 W High St
Lima, OH 45805-2725
Phone
(419) 225-2726
Fax
(419) 228-9909
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X 36003056W OH
Foot Surgery Podiatrist 213ES0131X 36003056W OH
Podiatrist 213E00000X 36003056W OH Primary

Addresses

Primary practice location

1138 W High St
Lima, OH 45805-2725

Mailing address

1138 W High St
Lima, OH 45805-2725
Phone (419) 225-2726

Other identifiers 3

IdentifierTypeStateIssuer
480031634OtherOHRAILROAD MEDICARE
CB6624OtherRAILROAD MEDICARE
2136398MedicaidOH

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050617000053 OH Practitioner - Podiatry 8921042219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Central Ohio Podiatry IncGroup PAC ID 4486698776, 4 clinicians

Practice addresses (Care Compare)

1138 W High St
Lima, OH 45805-2725
Phone (419) 225-2726

Hospital & facility affiliations

  • Mercy Health-Home Health, Lima Home health agency, Lima, OH, CCN 367417
  • Mercy Health St Ritas Medical Center Hospital, Lima, OH, CCN 360066
  • Van Wert County Hospital Hospital, Van Wert, OH, CCN 360071

Merit-based Incentive Payment System (MIPS)

Final score
27.03 of 100Reported as individual
Quality
45.09
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue260
Removal of skin lesions16
Removal of nail tissue136
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3056OHMDClinical Psychologist
36003056WOHMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Ohio Podiatry Inc. Podiatrist CurrentSince Jan 1, 2001 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

220 S Main St
Celina, OH 45822
Phone (419) 586-7874

1138 W High St
Lima, OH 45805
Phone (419) 225-2726

140 Fox Rd
Ste 209
Van Wert, OH 45891
Phone (419) 222-6595

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/K-cN4tVgW_1xlTS_2tRMxdUMCQhBSDfG/

Organizations & group practices 2

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 4

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1114923398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W HIGH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052725",
            "telephone_number": "419-225-2726",
            "fax_number": "419-228-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 W HIGH ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052725",
            "telephone_number": "419-225-2726",
            "fax_number": "419-228-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "SHAWN",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OH",
            "license": "36003056W",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "OH",
            "license": "36003056W",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003056W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480031634",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB6624",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2136398",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.