Jerry Keith Shell, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35045125S Issued in OH

Practice address

2254 Olympic St
Springfield, OH 45503-2737

Phone

(937) 399-8287

Fax

(937) 399-1670

NPI assigned

May 24, 2005

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

Other identifiers 1

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

Specialty

Ophthalmology

Education

Indiana University School of Medicine, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Physicians of Springfield, IncGroup PAC ID 3072546373, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohio Valley Surgical Hospital Hospital, Springfield, OH, CCN 360355

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jshell@direct.ovsurgical.com

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.

• Eye Physicians of Springfield, Inc

  • Ophthalmology Physician
  • Springfield, OH
  • NPI 1952315939
  Medicare reassignment Care Compare group NPD Authorized official
• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ohio Valley Medical Center, LLC

  • General Acute Care Hospital
  • Springfield, OH
  • NPI 1538304050
  Care Compare affiliation

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1235132135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287",
            "fax_number": "937-399-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 OLYMPIC ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032737",
            "telephone_number": "937-399-8287",
            "fax_number": "937-399-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELL",
        "first_name": "JERRY",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35045125S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0431474",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sierra Morgan Sharpe
• Mary Elizabeth Shaw
• Matthew Steven Shaw, RPH
• Shawn S Osterholt MD LLC
• Andrea Sheerin
• Sheltered, Inc
• Arielle Shepherd, LPN
• Brittany Shepherd, LPN
• Julie Sherman
• Sherry a. Robinette, DDS, LLC

• Ophthalmology Physician in Springfield, OH
• Providers in Springfield, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.