Active NPI
Shirley Ann McElroy II
- Community Health Worker
- Alliance, OH
National Provider Identifier
1467860403
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Oct 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2207285
- Practice address
- 1125 Wade Ave
Alliance, OH 44601-3269 - Phone
- (330) 680-4812
- Fax
- (330) 680-4812
- NPI assigned
- Jul 22, 2014
- Last updated
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2207285 | OH | Primary |
Addresses
Primary practice location
1125 Wade Ave
Alliance, OH 44601-3269
Mailing address
1125 Wade Ave
Alliance, OH 44601-3269
Phone (330) 680-4812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2207285 | OH | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1467860403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 WADE AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013269",
"telephone_number": "330-680-4812",
"fax_number": "330-680-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 WADE AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013269",
"telephone_number": "330-680-4812",
"fax_number": "330-680-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-22",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "OH",
"license": "2207285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
- Barbara McCoy, RN
- Patricia Ann McCoy
- McCrea Operating Company LLC (McCrea Manor Nursing & Rehab Center)
- McCrea Operating Company LLC (McCrea Manor Nursing & Rehabilitation Center)
- Lindsey McCue
- Nicole Marie McGaffic, PHARM D
- Vincent Allen McGreal II
- Jennifer McKay
- Anthony Peter McKeen, D.O.
- Stephanie May McKinney, WHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.