Merrill J Shidler, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35051246 Issued in OH

Practice address

1068 State Route 28
Suite C
Milford, OH 45150-2095

Phone

(513) 831-5900

Fax

(513) 831-0354

NPI assigned

Dec 13, 2006

Last updated

Nov 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Daniel Drake Center for Post-Acute Care, LLC

  • Long Term Care Hospital
  • Cincinnati, OH
  • NPI 1558355487

  Family Medicine

  NPD (past)
• Highland Hospitalist Services Medical Group

  • Internal Medicine Physician
  • Hillsboro, OH
  • NPI 1184666497
  NPD (past)
• Hospital Services Medical Group of Clark County Inc

  • Internal Medicine Physician
  • Springfield, OH
  • NPI 1588659841
  NPD (past)
• Mercy Health Urgent Care LLC

  • Family Medicine Physician
  • Milford, OH
  • NPI 1588390942
  NPD (past)
• Norfolk Supply

  • Dialysis Equipment & Supplies (DME)
  • Greenville, MS
  • NPI 1609959329
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1528129301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 MISSION POINT BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454316600",
            "telephone_number": "937-912-4441",
            "fax_number": "937-429-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1068 STATE ROUTE 28",
            "address_2": "SUITE C",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502095",
            "telephone_number": "513-831-5900",
            "fax_number": "513-831-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDLER",
        "first_name": "MERRILL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35051246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0567515",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Sedlar
• Sem Haven Inc (SEM Haven - Laboratory)
• Neila K Senter, LPCC
• Shelby Lynn Sheehan, RBT
• Sheela E Sheth, M.D.
• Rachel R Shiffer
• Maria Shiffman
• Justin Kyle Short, CDCA
• Alyssa Shorten, RBT
• Jamie Lynn Shuler, LSW, CDCA

• Family Medicine Physician in Milford, OH
• Providers in Milford, 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 Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.