Individual provider Active NPI

Shawn Steven Stansbery, D.O.

  • Anesthesiology Physician
  • Bowling Green, OH
National Provider Identifier
1265660922
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
009500 Issued in OH
Practice address
950 W Wooster St
Bowling Green, OH 43402-2603
Phone
(419) 354-8676
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 009500 OH Primary

Addresses

Primary practice location

950 W Wooster St
Bowling Green, OH 43402-2603

Mailing address

869 Scott Blvd
Bowling Green, OH 43402-2622
Phone (614) 314-2686

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090902000413 OH Practitioner - Anesthesiology 8921153669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Anesthesia and Pain Treatment, LLCGroup PAC ID 6406939362, 6 clinicians

Practice addresses (Care Compare)

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 354-8900

Hospital & facility affiliations

  • Wood County Hospital Hospital, Bowling Green, OH, CCN 360029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009500OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Associates LLC CurrentSince Dec 21, 2022 Accepting new patients
Wood Anesthesia & Pain Treatment, LLC Anesthesiology CurrentSince Jul 13, 2009 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Anesthesiology CurrentSince Dec 21, 2022 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wood County Hospital Assn.Bowling Green, OH, CCN 360029 Hospital Corporate Director (8.34%) Jan 19, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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 1

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1265660922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 SCOTT BLVD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022622",
            "telephone_number": "614-314-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "419-354-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSBERY",
        "first_name": "SHAWN",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "009500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.