Patrick B. O'Shea, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2197 Issued in OH

Practice address

1072 N Main St
Bowling Green, OH 43402

Phone

(419) 354-6166

Fax

(419) 354-6756

NPI assigned

Apr 10, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1669435699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 N MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-354-6166",
            "fax_number": "419-354-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 N MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "43402",
            "telephone_number": "419-354-6166",
            "fax_number": "419-354-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "PATRICK",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "3414316963A12",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "341431696-006",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2022233",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lyle Edward Nowicki, O.D.
• Nursing Service LPN
• Isabella Nyiri
• Tamara M O'Brien, LISW
• Brian M O'Neill, DDS
• Tanya R Obermyer, R.N.
• Debra Lynn Oborck, PT
• William Hayes Obrien, PH.D.
• Emily Oehrtman
• Ohio CVS Stores LLC

• All providers in Bowling Green, OH
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.