Active NPI
Thomas A Shemory, M.D.
- Family Medicine Physician
- North Canton, OH
National Provider Identifier
1295709673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35049206S
- Practice address
- 4860 Frank Rd NW
North Canton, OH 44720-7426 - Phone
- (330) 494-7099
- Fax
- (330) 494-2147
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35049206S | OH | Primary |
Addresses
Primary practice location
4860 Frank Rd NW
North Canton, OH 44720-7426
Mailing address
4860 Frank Ave NW
North Canton, OH 44720-7426
Phone (330) 494-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0614740 | Medicaid | OH |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049206S | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1295709673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 FRANK AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207426",
"telephone_number": "330-494-7099",
"fax_number": "330-494-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 FRANK RD NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207426",
"telephone_number": "330-494-7099",
"fax_number": "330-494-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEMORY",
"first_name": "THOMAS",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35049206S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0614740",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.