Organization Active NPI

Elite Medicine LLC

  • Family Medicine Physician
  • West Chester, OH
National Provider Identifier
1689322588
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ELITE MEDICINE LLC
Practice address
8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313
Phone
(513) 860-2888
Fax
(513) 860-9507
NPI assigned
Mar 10, 2022
Last updated
Mar 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Authorized official

Name
Shelli Ridge, DONPI 1356629356
Title
Physician/Owner
Phone
(419) 366-8494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313

Mailing address

8240 Beckett Park Dr Ste a
West Chester, OH 45069-9313
Phone (513) 860-2888

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0344915Elite Medicine, LLC8240 Beckett Park Dr Ste a, West Chester, OH 45069Certificate of waiverJul 18, 2026

National Provider Directory

National Provider Directory

Locations

8240 Beckett Park Dr
Ste A
West Chester, OH 45069
Phone (513) 252-6087

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1689322588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 BECKETT PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699313",
            "telephone_number": "513-860-2888",
            "fax_number": "513-860-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 BECKETT PARK DR STE A",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699313",
            "telephone_number": "513-860-2888",
            "fax_number": "513-860-9507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "RIDGE",
        "authorized_official_first_name": "SHELLI",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "419-366-8494",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.