Individual provider Active NPI

Karli Josephine Shives, MSPAS

  • Physician Assistant
  • Sebring, OH
National Provider Identifier
1487437562
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
605 E Ohio Ave
Sebring, OH 44672-1643
Phone
(330) 537-4661
Fax
(330) 537-4482
NPI assigned
Aug 14, 2023
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Emergency Medicine Physician 207P00000X 50.008421RX OH

Addresses

Primary practice location

605 E Ohio Ave
Sebring, OH 44672-1643

Mailing address

605 E Ohio Ave
Sebring, OH 44672-1643
Phone (330) 537-4661

Other practice location 1

5525 Walnut Grove Cir
Struthers, OH 44471-3116
Phone (330) 506-8011

Other practice location 2

107 Royal Birkdale Dr Ste A
Columbiana, OH 44408-8493
Phone (330) 482-9350

Other practice location 3

9471 Market St Ste A
North Lima, OH 44452-8702
Phone (330) 726-7100

Other practice location 4

330 Wick Ave
Youngstown, OH 44503-1002
Phone (330) 747-4660

Other practice location 5

1932 Niles Cortland Rd NE
Warren, OH 44484-1055
Phone (330) 856-7702

Other practice location 6

564 E 2nd St
Salem, OH 44460-2914
Phone (234) 567-8150

Other practice location 7

5533 Mahoning Ave Fl 2
Austintown, OH 44515-2366
Phone (330) 793-2707

Other practice location 8

4694 Belmont Ave
Youngstown, OH 44505-1012
Phone (330) 480-7667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226000428 OH Practitioner - Physician Assistant 4082059472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 11, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 11, 2024 Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

564 E 2nd St
Salem, OH 44460
Phone (234) 567-8150

605 E Ohio Ave
Sebring, OH 44672
Phone (330) 537-4661

1932 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 306-5300

4694 Belmont Ave
Youngstown, OH 44505
Phone (330) 480-7655

5533 Mahoning Ave
Fl 2
Youngstown, OH 44515
Phone (330) 480-3533

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1487437562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E OHIO AVE",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446721643",
            "telephone_number": "330-537-4661",
            "fax_number": "330-537-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E OHIO AVE",
            "city": "SEBRING",
            "state": "OH",
            "postal_code": "446721643",
            "telephone_number": "330-537-4661",
            "fax_number": "330-537-4482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5525 Walnut Grove Cir",
            "address_purpose": "LOCATION",
            "city": "Struthers",
            "state": "OH",
            "postal_code": "444713116",
            "country_code": "US",
            "telephone_number": "330-506-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Royal Birkdale Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088493",
            "country_code": "US",
            "telephone_number": "330-482-9350",
            "fax_number": "330-482-2336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9471 Market St Ste A",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444528702",
            "country_code": "US",
            "telephone_number": "330-726-7100",
            "fax_number": "330-758-0347",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Wick Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445031002",
            "country_code": "US",
            "telephone_number": "330-747-4660",
            "fax_number": "330-747-4661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Niles Cortland Rd NE",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444841055",
            "country_code": "US",
            "telephone_number": "330-856-7702",
            "fax_number": "330-856-7704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "564 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444602914",
            "country_code": "US",
            "telephone_number": "234-567-8150",
            "fax_number": "234-567-8189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5533 Mahoning Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152366",
            "country_code": "US",
            "telephone_number": "330-793-2707",
            "fax_number": "330-793-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4694 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445051012",
            "country_code": "US",
            "telephone_number": "330-480-7667",
            "fax_number": "330-759-3851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVES",
        "first_name": "KARLI",
        "middle_name": "JOSEPHINE",
        "credential": "MSPAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "50.008421RX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, OH

Sources for this page

Verify at the official NPI Registry.