Individual provider Active NPI

Shea Jones, D.O.

  • Surgery Physician
  • Englewood, FL
National Provider Identifier
1407267693
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS16726 Issued in FL
Practice address
3937 S Access Rd Unit a
Englewood, FL 34224-3612
Phone
(941) 786-0790
Fax
(941) 786-0959
NPI assigned
May 11, 2014
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS16726 FL Primary

Addresses

Primary practice location

3937 S Access Rd Unit a
Englewood, FL 34224-3612

Mailing address

3937 S Access Rd Unit a
Englewood, FL 34224-3612
Phone (941) 786-0790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220902001097 FL Practitioner - General SurgeryPractitioner - Family Practice 5193051415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastline Surgical Group PLLCGroup PAC ID 7719361187, 2 clinicians

Practice addresses (Care Compare)

900 Pine St
Suite 123
Englewood, FL 34223-4457
Phone (941) 786-0790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)21
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS16726FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Surgical Group, PLLC Surgery CurrentSince Jun 1, 2022 Accepting new patients

Locations

3937 S Access Rd
Unit A
Englewood, FL 34224
Phone (586) 215-9493

900 Pine St
Ste 111B
Englewood, FL 34223
Phone (941) 786-0790

900 Pine St
Ste 123
Englewood, FL 34223
Phone (941) 474-4061

411 Commercial Ct
Bldg 4
Venice, FL 34292

Organizations & group practices 1

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 3

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": "1399766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1407267693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3937 S ACCESS RD UNIT A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342243612",
            "telephone_number": "941-786-0790",
            "fax_number": "941-786-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3937 S ACCESS RD UNIT A",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342243612",
            "telephone_number": "941-786-0790",
            "fax_number": "941-786-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHEA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-11",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS16726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.