Julia Shakh, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35.133156 Issued in OH

Practice address

4832 Cooper Rd
#111
Blue Ash, OH 45242

Phone

(513) 817-1888

NPI assigned

May 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Julia Martisius Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1235575663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 COOPER RD # 111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452426944",
            "telephone_number": "513-817-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 COOPER RD",
            "address_2": "#111",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "45242",
            "telephone_number": "513-817-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKH",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "289621",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.133156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MARTISIUS",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Servicefirst Medical Supply
• Jamie Sexton
• Tamryn Seyfried, COTA
• Erin Seymour, OD
• April Shackleford, LPC
• Pedram Shanehsaz, DMD
• Xiaofei Shangguan, L.AC.
• Ashley R. Shanks, LPC
• Caroline Shannon, LPC
• Sharon M Bullock

• Psychiatry Physician in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.