Active NPI
Terri L. Shilling, D.O.
- Family Medicine Physician
- Sugarcreek, OH
National Provider Identifier
1174682140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34006093
- Practice address
- 126 S Broadway St
Sugarcreek, OH 44681-9378 - Phone
- (330) 852-0704
- Fax
- (330) 852-4830
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34006093 | OH | Primary |
Addresses
Primary practice location
126 S Broadway St
Sugarcreek, OH 44681-9378
Mailing address
126 S Broadway St
PO Box 796
Sugarcreek, OH 44681-9378
Phone (330) 852-0704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0241027 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070130000329 | OH | Practitioner - Family Practice | 5294736591 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Physician Services LLC
Practice addresses (Care Compare)
126 /2 N Broadway
Sugarcreek, OH 44681-0281
Phone (330) 852-3120
Hospital & facility affiliations
- Advantage Home Health Services, Inc
- Union Hospital
- Cleveland Clinic
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Physician Services, LLC | Family Medicine | Current | Accepting new patients |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| DHSC LLC | Past | Accepting new patients | |
| Radiology Associates of Canton, Inc. | Past | Accepting new patients | |
| The Union Hospital Association | Past | Accepting new patients | |
| DHSC LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Mercy Professional Care, LLC | Family Medicine | Past | Accepting new patients |
Locations
205 Hospital Dr
Dover, OH 44622
Phone (330) 343-3335
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
400 Medical Park Dr
Ste 103
Dover, OH 44622
Phone (330) 343-4411
Interoperability endpoints
- terrishilling@dpfm.allscriptsdirect.net
- tshilling1247582@direct.ccf.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
Family Medicine, OH
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- General Acute Care Hospital
- Massillon, OH
- NPI 1215980560
-
- Durable Medical Equipment & Medical Supplies
- Massillon, OH
- NPI 1578516795
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
-
- Community/Retail Pharmacy
- Dover, OH
- NPI 1023316700
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Canton, OH
- NPI 1710141163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1174682140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S BROADWAY ST",
"address_2": "PO BOX 796",
"city": "SUGARCREEK",
"state": "OH",
"postal_code": "446819378",
"telephone_number": "330-852-0704",
"fax_number": "330-852-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S BROADWAY ST",
"city": "SUGARCREEK",
"state": "OH",
"postal_code": "446819378",
"telephone_number": "330-852-0704",
"fax_number": "330-852-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHILLING",
"first_name": "TERRI",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34006093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0241027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugarcreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.