Samaritan Regional Health System

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SAMARITAN REGIONAL HEALTH SYSTEM

Doing business as

UH New London Urgent Care

Practice address

206 W Main St
New London, OH 44851

Phone

(419) 626-7820

NPI assigned

May 24, 2019

Organization subpart

No

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

Authorized official

Name

Anthony Schillero

Title

Director, FP&a

Phone

(216) 767-8141

Specialties & licenses 1

Addresses

Other names 1

• UH New London Urgent Care Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Samaritan Regional Health System

  dba UH Samaritan Urgent Care

  • Urgent Care Clinic/Center
  • Ashland, OH
  • NPI 1265902084

  O20060206000325

  Same enrollment
• Samaritan Regional Health System

  • Nurse Practitioner
  • Ashland, OH
  • NPI 1396251989

  O20060206000325

  Same enrollment
• Samaritan Regional Health System

  dba University Hospitals Samaritan Medical Center

  • Urgent Care Clinic/Center
  • Ashland, OH
  • NPI 1720578297

  O20060206000325

  Same enrollment
• Samaritan Regional Health System

  dba UH Samaritan Richland Health Center

  • Urgent Care Clinic/Center
  • Mansfield, OH
  • NPI 1801428099

  O20060206000325

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Samaritan Professional Corporation

  • Gastroenterology Physician
  • Ashland, OH
  • NPI 1811948862

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1568029510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772930",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W MAIN ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "44851",
            "telephone_number": "419-626-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN REGIONAL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "SCHILLERO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR, FP&A",
        "authorized_official_telephone_number": "216-767-8141"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/Documentsubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UH New London Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UH New London Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Lynn Poth, STNA
• Anita Poyer
• Dorothy Sue Prelipp, LPN
• Brett Lynn Richards, LPN
• Shelby Rohr, DDS
• Kelly Schaller, M.A., CCC-SLP
• Akash Shah, MD
• Amber L Shenefield
• Molly Small, M.S., CCC-SLP
• Kelly Ann Squire, LPN

• Urgent Care Clinic/Center in New London, OH
• Providers in New London, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.