Active NPI
Shea Jones, D.O.
- Surgery Physician
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS16726
- Practice address
- 900 Pine St Ste 123
Englewood, FL 34223-4457 - Phone
- (941) 786-0790
- Fax
- (941) 786-0959
- NPI assigned
- May 11, 2014
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS16726 | FL | Primary |
Addresses
Primary practice location
900 Pine St Ste 123
Englewood, FL 34223-4457
Mailing address
900 Pine St Ste 123
Englewood, FL 34223-4457
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
Enrollment records 1
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
Practice addresses (Care Compare)
900 Pine St
Suite 123
Englewood, FL 34223-4457
Phone (941) 786-0790
Hospital & facility affiliations
- HCA Florida Healthcare at Home
- HCA Florida Englewood Hospital
- HCA Florida Fawcett Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 21 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS16726 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Surgical Group, PLLC | Surgery | Current | Accepting new patients |
Locations
900 Pine St
Ste 123
Englewood, FL 34223
Phone (941) 474-4061
900 Pine St
Ste 111B
Englewood, FL 34223
Phone (941) 786-0790
411 Commercial Ct
Bldg 4
Venice, FL 34292
Phone (941) 786-0790
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 and National Provider Directory roles.
-
- Surgery Physician
- Englewood, FL
- NPI 1629708821
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Englewood, FL
- NPI 1639122864
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- Home Health Agency
- PT Charlotte, FL
- NPI 1891747952
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": "1788998400000",
"number": "1407267693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 PINE ST STE 123",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"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": "900 PINE ST STE 123",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342234457",
"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": "2026-09-10",
"certification_date": "2026-09-10",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.