Shelby Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35075528 Issued in OH

Legal business name

SHELBY PEDIATRICS, LLC

Practice address

1431 N Main Ave
Sidney, OH 45365-1735

Phone

(937) 419-8687

Fax

(937) 419-8688

NPI assigned

May 13, 2016

Last updated

Mar 16, 2021By 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

Dr. Karen S Smith, M.D.NPI 1578517314

Title

Doctor

Phone

(937) 726-3980

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12884/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Karen Sue Smith, M.D.

  • Pediatrics Physician
  • Sidney, OH
  • NPI 1578517314
  NPD Authorized official

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1568818029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N MAIN AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651735",
            "telephone_number": "937-419-8687",
            "fax_number": "937-419-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N MAIN AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651735",
            "telephone_number": "937-419-8687",
            "fax_number": "937-419-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "937-726-3980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35075528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby County Memorial Hospital Association Inc. (Wilson Health)
• Shelby County Ohio (Fair Haven Shelby County Home)
• Shelby County Ohio (Sidney-Shelby County Health Dept)
• Shelby County Recovery Inc.
• Shelby County Surgical Assoc Inc
• Emily Marie Sherwood, LPCC
• Danell Ann Shirey, PTA
• Carolyn Shiveley
• Erica Kate Short
• Melissa Deann Shroyer

• Pediatrics Physician in Sidney, OH
• Providers in Sidney, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.