Individual provider Active NPI

Michael A. Shumaker, D.O.

  • Orthopaedic Surgery Physician
  • Warren, OH
National Provider Identifier
1285639484
Registry record updated Jan 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58. 005913 Issued in OH
Practice address
667 Eastland Ave SE
St Joseph Warren Hospital Medical Education Dept
Warren, OH 44484-4503
Phone
(330) 841-4774
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58. 005913 OH Primary

Addresses

Primary practice location

667 Eastland Ave SE
St Joseph Warren Hospital Medical Education Dept
Warren, OH 44484-4503

Mailing address

667 Eastland Ave SE
Warren, OH 44484-4503
Phone (330) 841-4772

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
I20210826000716 OH Practitioner - Orthopedic Surgery 9133197502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

250 Debartolo PL
Suite 1000
Youngstown, OH 44512-6090
Phone (330) 729-8000

Hospital & facility affiliations

  • Southwoods Health at Home LLC Home health agency, Youngstown, OH, CCN 369307
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
71.12
Promoting interoperability
100
Improvement activities
40
Cost
75.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion35
Laminectomy or laminotomy (partial removal of spine bones)27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58. 005913OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Sep 10, 2024 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Orthopaedic Surgery CurrentSince Sep 10, 2024 Accepting new patients
Triad Health Services, LLC Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Southwoods Health at Home, LLC PastSince Sep 1, 2021 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

416 W 27th St
Ashtabula, OH 44004
Phone (440) 650-1884

29001 Cedar Rd
Ste 303
Lyndhurst, OH 44124
Phone (330) 667-3628

250 Debartolo Pl
Ste B
Youngstown, OH 44512
Phone (234) 683-1015

250 Debartolo Pl
Ste 1000
Youngstown, OH 44512
Phone (330) 314-9100

250 Debartolo Pl
Ste C
Youngstown, OH 44512

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 200
Youngstown, OH 44512
Phone (330) 729-8000

7630 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-8000

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 and National Provider Directory roles.

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452988800000",
    "number": "1285639484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "address_2": "ST JOSEPH WARREN HOSPITAL MEDICAL EDUCATION DEPT",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKER",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2016-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "58. 005913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.