Shani Vaturi MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35062216 Issued in OH

Legal business name

SHANI VATURI MD LLC

Practice address

7264 Warren Sharon Rd
Brookfield, OH 44403-9665

Phone

(330) 448-3060

Fax

(330) 448-2555

NPI assigned

Apr 13, 2007

Last updated

Aug 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shani Vaturi, MDNPI 1568480341

Title

President

Phone

(330) 448-3060

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shani Vaturi, MD

  • Family Medicine Physician
  • Brookfield, OH
  • NPI 1568480341

  PA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1447474085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161480208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 WARREN SHARON RD",
            "city": "BROOKFIELD",
            "state": "OH",
            "postal_code": "444039665",
            "telephone_number": "330-448-3060",
            "fax_number": "330-448-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANI VATURI MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "VATURI",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-448-3060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0930103",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014975420002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karsyn Rupert
• Justin Sahli
• Marisa Sapar
• Sariah Saunders
• Cathy Schatzel
• Sharon Regional Health System (Sharon Regional Health System Home Health)
• Kallie Sharp
• Austin Sharrer
• Lisa Shingledecker, L.P.N.
• Amanda Sibel

• Family Medicine Physician in Brookfield, OH
• Providers in Brookfield, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.