Individual provider Active NPI

Shannon Deioma, CNM

  • Advanced Practice Midwife
  • Cleveland, OH
National Provider Identifier
1639563208
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
17145NM Issued in OH
Practice address
11100 Euclid Ave
Cleveland, OH 44106-1716
Phone
(216) 910-5678
NPI assigned
Mar 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 17145NM OH Primary

Addresses

Primary practice location

11100 Euclid Ave
Cleveland, OH 44106-1716

Mailing address

8055 Mayfield Rd Ste 105
Chesterland, OH 44026-2447

Other practice location 1

51 Park West Blvd
Ste. 200
Akron, OH 44320-4215
Phone (330) 869-9777

Other practice location 2

141 N Forge St
Akron, OH 44304-1407
Phone (330) 375-3000

Other names 1

  • Shannon Crites Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424001516 OH Practitioner - Certified Nurse Midwife (CNM) 2466771407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
17145NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Mar 14, 2015 Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Summa Physicians LLC Advanced Practice Midwife CurrentSince Mar 14, 2015 Accepting new patients
Summa Physicians LLC Current Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jun 24, 2020 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

51 Park West Blvd
#200
Akron, OH 44320

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

25001 Emery Rd
Ste 125
Warrensville Heights, OH 44128
Phone (440) 735-2525

Interoperability endpoints

  • Direct secure messaging: scrites22951@summahealth-direct.org
  • Direct secure messaging: scrites576711@ehrdirect.uhhospitals.org

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 4

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": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1639563208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 MAYFIELD RD STE 105",
            "city": "CHESTERLAND",
            "state": "OH",
            "postal_code": "440262447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-910-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 Park West Blvd",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443204215",
            "country_code": "US",
            "telephone_number": "330-869-9777",
            "fax_number": "330-869-0052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 N Forge St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041407",
            "country_code": "US",
            "telephone_number": "330-375-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEIOMA",
        "first_name": "SHANNON",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "17145NM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CRITES",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.