Individual provider Active NPI

Jocelyn Florendo Shimek, D.O.

  • Internal Medicine Physician
  • Salem, OH
National Provider Identifier
1255336459
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-00-3263S Issued in OH
Practice address
564 E 2ND St
Salem, OH 44460
Phone
(234) 567-8150
Fax
(234) 567-8189
NPI assigned
Jun 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-00-3263S OH Primary

Addresses

Primary practice location

564 E 2ND St
Salem, OH 44460

Mailing address

9471 Market St
Ste B
North Lima, OH 44452-8702
Phone (330) 729-2388

Other identifiers 1

IdentifierTypeStateIssuer
0545575MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Medical Services, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1255336459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9471 MARKET ST",
            "address_2": "STE B",
            "city": "NORTH LIMA",
            "state": "OH",
            "postal_code": "444528702",
            "telephone_number": "330-729-2388",
            "fax_number": "330-629-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 E 2ND ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "44460",
            "telephone_number": "234-567-8150",
            "fax_number": "234-567-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMEK",
        "first_name": "JOCELYN",
        "middle_name": "FLORENDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-3263S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0545575",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.