Shelby County Ohio

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SHELBY COUNTY OHIO

Doing business as

Sidney-Shelby County Health Dept

Practice address

202 West Poplar St
Sidney, OH 45365

Phone

(937) 498-7249

Fax

(937) 498-7013

NPI assigned

Sep 6, 2006

Last updated

Jun 30, 2008By 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

Mr. Robert Mai, MPH RS

Title

Health Commissioner

Phone

(937) 498-7249

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Sidney-Shelby County Health Dept Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Shelby County Ohio

  dba Fair Haven Shelby County Home

  • Skilled Nursing Facility
  • Sidney, OH
  • NPI 1376690461

  8325234974

  Same PAC ID

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Shelby County Ohio

  dba Fair Haven Shelby County Home

  • Skilled Nursing Facility
  • Sidney, OH
  • NPI 1376690461

  5% Or Greater Direct Ownership Interest, Adp of the SNF

  CMS ownership

Practitioners 2

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.

• Paul W Weber, MD

  • Pediatrics Physician
  • Piqua, OH
  • NPI 1942278940
  Medicare reassignment NPD
• Richard Don Clark, MD

  • Family Medicine Physician
  • Marietta, OH
  • NPI 1053316364
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1477656601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST POPLAR ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-498-7249",
            "fax_number": "937-498-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST POPLAR ST",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-498-7249",
            "fax_number": "937-498-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY COUNTY OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "937-498-7249",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH RS"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WUI CHILD CLINIC",
            "identifier": "0591042",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sidney-Shelby County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby County Memorial Hospital Association
• Shelby County Memorial Hospital Association
• Shelby County Memorial Hospital Association Inc. (Wilson Memorial Hospital)
• Shelby County Memorial Hospital Association Inc. (Wilson Health)
• Shelby County Ohio (Fair Haven Shelby County Home)
• Shelby County Recovery Inc.
• Shelby County Surgical Assoc Inc
• Shelby Pediatrics, LLC
• Emily Marie Sherwood, LPCC
• Danell Ann Shirey, PTA

• Public Health or Welfare Agency in Sidney, OH
• Providers in Sidney, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.