Active NPI
Omer L Shedd, MD
- Clinical Cardiac Electrophysiology Physician
- Gastonia, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2010-00265
- Practice address
- 2555 Court Dr
Suite 300
Gastonia, NC 28054-2134 - Phone
- (704) 868-3256
- Fax
- (704) 868-5870
- NPI assigned
- Aug 12, 2006
- Last updated
- Nov 28, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 39252 | KY | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 39252 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 2010-00265 | NC | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2010-00265 | NC | Primary |
Addresses
Primary practice location
2555 Court Dr
Suite 300
Gastonia, NC 28054-2134
Mailing address
2555 Court Dr
Suite 300
Gastonia, NC 28054-2134
Phone (704) 868-3256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Vanderbilt University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (704) 834-2000
2209 S Sterling St
Suite 530
Morganton, NC 28655-4093
Phone (704) 834-3278
2525 Court Dr
Gastonia, NC 28054-2140
Phone (704) 834-2450
2555 Court Dr
Suite 200
Gastonia, NC 28054-2178
Phone (704) 867-2141
660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799
Hospital & facility affiliations
- Caromont Regional Medical Center
- Caldwell Memorial Hospital
- Blue Ridge Healthcare Hospitals, Inc
- Atrium Health Cleveland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39252 | KY | MD | Cardiovascular Disease Physician |
| 2010-00265 | NC | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Cardiovascular Disease | Current | Accepting new patients |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Pam Combs MD Consulting Services, P.S.C. | Cardiovascular Disease | Past | Accepting new patients |
Locations
2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311
2555 Court Dr
Ste 200
Gastonia, NC 28054
Phone (704) 671-7670
2555 Court Dr
Ste 300
Gastonia, NC 28054
Phone (704) 834-3278
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
2209 S Sterling St
Ste 530
Morganton, NC 28655
Phone (828) 580-4230
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gastonia, NC
- NPI 1356314272
-
dba CaroMont Heart and Vascular
- Cardiovascular Disease Physician
- Gastonia, NC
- NPI 1174813224
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Cardiovascular Disease Physician
- Paris, KY
- NPI 1730315789
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Cleveland
- General Acute Care Hospital
- Shelby, NC
- NPI 1669348991
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1114974029
-
dba CaroMont Regional Medical Center
- General Acute Care Hospital
- Gastonia, NC
- NPI 1013918960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1346252905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 300",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-868-3256",
"fax_number": "704-868-5870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 COURT DR",
"address_2": "SUITE 300",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542134",
"telephone_number": "704-868-3256",
"fax_number": "704-868-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEDD",
"first_name": "OMER",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "39252",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "KY",
"license": "39252",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2010-00265",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NC",
"license": "2010-00265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.