Individual provider Active NPI

Cameron Charles Sheehan

  • Pediatric Otolaryngology Physician
  • Toledo, OH
National Provider Identifier
1265936777
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
35.148604 Issued in OH
Practice address
2222 Cherry St Ste M800
Toledo, OH 43608-2676
Phone
(419) 251-1020
Fax
(419) 251-1021
NPI assigned
Mar 20, 2018
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X 35.148604 OH Primary

Addresses

Primary practice location

2222 Cherry St Ste M800
Toledo, OH 43608-2676

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

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
I20230718002488 OH Practitioner - Otolaryngology 0941660203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Pediatric Specialists LLCGroup PAC ID 6709279276, 21 clinicians
Promedica Multi Specialty PhysiciansGroup PAC ID 7113182809, 269 clinicians

Practice addresses (Care Compare)

2222 Cherry St
Toledo, OH 43608-2673
Phone (419) 251-4300

5700 Monroe St
Unit 211a
Sylvania, OH 43560-2735
Phone (567) 585-0490

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.148604OHMDPediatric Otolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Aug 1, 2023 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Promedica Multi Specialty Physicians Otolaryngology CurrentSince Oct 20, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Promedica Central Physicians Otolaryngology Past Accepting new patients

Locations

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

1252 Ralston Ave
Ste 402
Defiance, OH 43512
Phone (419) 948-3376

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

1620 Brigham Dr
Ste 150
Perrysburg, OH 43551
Phone (419) 578-7555

5700 Monroe St
Unit 211A
Sylvania, OH 43560
Phone (419) 291-2800

5700 Monroe St
Unit 310
Sylvania, OH 43560
Phone (419) 578-7555

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200

2222 Cherry St
Ste M800
Toledo, OH 43608
Phone (419) 251-1020

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1265936777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE M800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082676",
            "telephone_number": "419-251-1020",
            "fax_number": "419-251-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "CAMERON",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "OH",
            "license": "35.148604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.