Individual provider Active NPI

Shelsea Lea Johnson, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Piqua, OH
National Provider Identifier
1639146822
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
35-08-4088 Issued in OH
Practice address
280 Looney Rd Ste 203
Piqua, OH 45356-4149
Phone
(937) 440-8687
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-08-4088 OH
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 35-08-4088 OH Primary

Addresses

Primary practice location

280 Looney Rd Ste 203
Piqua, OH 45356-4149

Mailing address

300 High St FL 4
Hamilton, OH 45011-6078
Phone (513) 454-1460

Other practice location 1

1152 W 3rd St
Dayton, OH 45402-6812
Phone (937) 268-3483

Other practice location 2

4363 All Seasons Dr Ste 100
Hilliard, OH 43026-2050
Phone (614) 355-5900

Other practice location 3

7901 Diley Rd Ste 150
Canal Winchester, OH 43110-9613
Phone (614) 355-9050

Other practice location 4

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4329

Other practice location 5

7450 Hospital Dr Ste 100
Dublin, OH 43016-8364
Phone (614) 355-7000

Other practice location 6

7853 Pacer Dr
Delaware, OH 43015-7571
Phone (614) 355-7900

Other practice location 7

444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Phone (614) 722-2000

Other practice location 8

433 N Cleveland Ave
Westerville, OH 43082-8095
Phone (614) 355-8300

Other practice location 9

100 Colemans Xing
Marysville, OH 43040-7080
Phone (937) 578-7600

Other practice location 10

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 355-8100

Other practice location 11

1350 Stringtown Rd
Grove City, OH 43123-9743
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
2506747MedicaidOH

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
I20060303000069 OH Practitioner - Pediatric Medicine 6305852195 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Children'S Hospital CurrentSince Sep 25, 2024 Accepting new patients
Upper Valley Professional Corporation CurrentSince Nov 2, 2020 Accepting new patients
Nationwide Children'S Hospital Pediatrics CurrentSince Sep 25, 2024 Accepting new patients
Premier Integrated Medical Assoc LTD Pediatrics Past Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients
Premier Integrated Medical Assoc LTD Pediatrics Past Accepting new patients
Licking Memorial Professional Corporation Past Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

7901 Diley Rd
Ste 150
Canal Winchester, OH 43110
Phone (614) 355-9050

444 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 938-0167

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

7853 Pacer Dr
Delaware, OH 43015
Phone (614) 355-7900

7450 Hospital Dr
Ste 100
Dublin, OH 43016
Phone (614) 355-7000

1350 Stringtown Rd
Grove City, OH 43123
Phone (614) 875-3444

4363 All Seasons Dr
Ste 100
Hilliard, OH 43026
Phone (614) 355-5900

100 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-7600

280 Looney Rd
Ste 203
Piqua, OH 45356
Phone (937) 440-8687

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

450 N Hyatt St
Ste 204
Tipp City, OH 45371
Phone (937) 440-8687

3130 N County Road 25A
Ste 201
Troy, OH 45373
Phone (937) 208-6630

433 N Cleveland Ave
Westerville, OH 43082
Phone (614) 355-8300

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1639146822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HIGH ST FL 4",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450116078",
            "telephone_number": "513-454-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LOONEY RD STE 203",
            "city": "PIQUA",
            "state": "OH",
            "postal_code": "453564149",
            "telephone_number": "937-440-8687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1152 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454026812",
            "country_code": "US",
            "telephone_number": "937-268-3483",
            "fax_number": "937-268-1884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-355-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109613",
            "country_code": "US",
            "telephone_number": "614-355-9050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Hospital Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168364",
            "country_code": "US",
            "telephone_number": "614-355-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 Pacer Dr",
            "address_purpose": "LOCATION",
            "city": "Delaware",
            "state": "OH",
            "postal_code": "430157571",
            "country_code": "US",
            "telephone_number": "614-355-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153427",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 N Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430828095",
            "country_code": "US",
            "telephone_number": "614-355-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Colemans Xing",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "OH",
            "postal_code": "430407080",
            "country_code": "US",
            "telephone_number": "937-578-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-355-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Stringtown Rd",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431239743",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHELSEA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-08-4088",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "OH",
            "license": "35-08-4088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2506747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piqua, OH

Sources for this page

Verify at the official NPI Registry.