Shelley A Stanforth, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-065438 Issued in OH

Practice address

67 Nunner Rd
Maineville, OH 45039

Phone

(513) 677-2405

Fax

(513) 677-2781

NPI assigned

Sep 25, 2006

Sex

Female

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 2

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

Specialty

Family Practice

Education

University of Cincinnati College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maineville Family Physicians IncGroup PAC ID 1153410642, 2 clinicians

Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Maineville Family Physicians Inc

  • Family Medicine Physician
  • Maineville, OH
  • NPI 1235324401
  Medicare reassignment Care Compare group NPD
• Oxford Physical Therapy and Rehabilitation

  • Physical Therapist
  • Mason, OH
  • NPI 1326126061
  Care Compare group
• Clinton Memorial Hospital of Wilmington Clinton County Ohio

  • Rural Acute Care Hospital
  • Wilmington, OH
  • NPI 1427064641
  NPD (past)
• Queen City Medical Center Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1285727123
  NPD (past)
• Queen City Seniors Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1619068434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• Trihealth Hospital, Inc.

  • General Acute Care Hospital
  • Wilmington, OH
  • NPI 1457243586
  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1689774085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD.",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 NUNNER RD",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "45039",
            "telephone_number": "513-677-2405",
            "fax_number": "513-677-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANFORTH",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-065438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2032606",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "36-06-5438",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Joann Smith, PHARMD
• Mary Jane Smith X
• McKenzie Lee Smith
• Stephanie M Spiers, D.C.
• Chris Stamatakos, PHARM.D
• Rhonda Stegemoller, PTA
• Katelyn Renee Stegmann
• Lori Green Stotz, MD
• Katherine J. Suez, RN
• Jiabao Sun, DMD, MDS

• Family Medicine Physician in Maineville, OH
• Providers in Maineville, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.