Individual provider Active NPI

Guohong Shao

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1689194870
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.021051 Issued in OH
Practice address
5700 Karl Rd
Columbus, OH 43229-3602
Phone
(614) 846-5420
NPI assigned
Jun 20, 2017
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.021051 OH Primary

Addresses

Primary practice location

5700 Karl Rd
Columbus, OH 43229-3602

Mailing address

5700 Karl Rd
Columbus, OH 43229-3602
Phone (614) 846-5420

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170727000230 OH Practitioner - Nurse Practitioner 6608146469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1805 E Main St
Columbus, OH 43205-2207
Phone (614) 372-9939

3 Acy Ave
Suite B
Jackson, OH 45640-9561
Phone (740) 774-4340

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050177OHMDFamily Medicine Physician
APRN.CNP.021051OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney & Hypertension Specialists of Jackson Piketon and Chillicothe L CurrentSince Aug 20, 2022 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince May 24, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 1, 2022 Accepting new patients
Central Ohio Compassion Care Current Accepting new patients
Ara-Bexley LLC Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1805 E Main St
Columbus, OH 43205
Phone (614) 253-3300

5700 Karl Rd
Columbus, OH 43229
Phone (614) 846-5420

200 Bradenton Ave
Dublin, OH 43017
Phone (614) 793-1080

3 Acy Ave
Ste B
Jackson, OH 45640
Phone (740) 286-8200

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: gshao570936@direct.osumc.edu
  • Direct secure messaging: guohong.shao@direct.davitaphysiciansolutions.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1689194870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293602",
            "telephone_number": "614-846-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293602",
            "telephone_number": "614-846-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAO",
        "first_name": "GUOHONG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.021051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.