Jeffrey Shall MD

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

JEFFREY SHALL MD

Practice address

29001 Cedar Rd
Cleveland, OH 44124-4062

Phone

(216) 973-5807

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Shall, MDNPI 1134106354

Title

Ceo

Phone

(216) 952-9797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey F Shall, MD

  • Orthopaedic Surgery Physician
  • Warrensville Heights, OH
  • NPI 1134106354
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1316775802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 EDWARDS LNDG",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441244062",
            "telephone_number": "216-973-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441285984",
            "country_code": "US",
            "telephone_number": "216-973-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 Scranton Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441134313",
            "country_code": "US",
            "telephone_number": "216-973-5807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JEFFREY SHALL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "SHALL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-952-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry Jefferson
• Kisha Jefferson, STNA
• Vanessa Marie Jefferson
• Angelina Marie Jeffery, LPC
• Annita Nikole Jeffery, M.D.
• Monica Jeffrey
• Elaine Marie Jeffries
• Josette Jeffries
• Michelle Renee Jeffries, CNP
• Veronica M Jeffries

• Orthopaedic Surgery of the Spine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Orthopaedic Surgery of the Spine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.