Individual provider Active NPI

Jason Daniel Shoemaker, D.O.

  • Surgery Physician
  • Dublin, OH
National Provider Identifier
1497053540
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34.011844 Issued in OH
Practice address
7450 Hospital Dr Ste 150
Dublin, OH 43016-9641
Phone
(614) 766-5050
Fax
(740) 766-8080
NPI assigned
Mar 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 34.011844 OH Primary

Addresses

Primary practice location

7450 Hospital Dr Ste 150
Dublin, OH 43016-9641

Mailing address

PO Box 536
Granville, OH 43023-0536
Phone (740) 587-1361

Other identifiers 1

IdentifierTypeStateIssuer
0126647MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825003162 OH Practitioner - General Surgery 5294041026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians
Columbus Surgical Associates IncGroup PAC ID 6608809884, 7 clinicians

Practice addresses (Care Compare)

7450 Hospital Dr
Suite 150
Dublin, OH 43016-9641
Phone (614) 766-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy13
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.011844OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Surgical Associates Inc Surgery CurrentSince Jun 1, 2017 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Nov 30, 2025 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Mar 22, 2019 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Mar 22, 2019 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Nov 30, 2025 Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

600 N Pickaway St
Ste 203
Circleville, OH 43113
Phone (740) 420-8365

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

1087 Dennison Ave
Columbus, OH 43201
Phone (614) 458-9000

1430 S High St
Columbus, OH 43207
Phone (614) 255-6930

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

5005 Parkcenter Ave
Dublin, OH 43017
Phone (614) 932-9548

7450 Hospital Dr
Ste 150
Dublin, OH 43016

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Organizations & group practices 6

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": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1497053540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430230536",
            "telephone_number": "740-587-1361",
            "fax_number": "740-587-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 HOSPITAL DR STE 150",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169641",
            "telephone_number": "614-766-5050",
            "fax_number": "740-766-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-13",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34.011844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.