Individual provider Active NPI

Shea Jones, D.O.

  • Surgery Physician
  • Englewood, FL
National Provider Identifier
1407267693
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS16726 Issued in FL
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

Updated by the provider on Sep 10, 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

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
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

  • HCA Florida Healthcare at Home Home health agency, PT Charlotte, FL, CCN 108013
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236

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

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.

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": "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

Verify at the official NPI Registry.