Individual provider Active NPI

Michele M Shober, D.O.

  • Ophthalmology Physician
  • New Castle, PA
National Provider Identifier
1700814290
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
OS007168L Issued in PA
Practice address
708 N Jefferson St
New Castle, PA 16101-2178
Phone
(724) 658-5597
Fax
(724) 658-8364
NPI assigned
Jun 30, 2006
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X OS007168L PA Primary

Addresses

Primary practice location

708 N Jefferson St
New Castle, PA 16101-2178

Mailing address

708 N Jefferson St
New Castle, PA 16101-2178
Phone (724) 658-5597

Other identifiers 3

IdentifierTypeStateIssuer
626978OtherPAKEYSTONE
0015016540001MedicaidPA
626978OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20101105001127 PA Practitioner - Ophthalmology 6204720352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence County Eye Associates PCGroup PAC ID 1951295005, 2 clinicians

Practice addresses (Care Compare)

708 N Jefferson St
New Castle, PA 16101-2178
Phone (724) 658-5597

Merit-based Incentive Payment System (MIPS)

Final score
73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence County Eye Associates, PC Ophthalmology CurrentSince Nov 5, 1990 Accepting new patients

Locations

708 N Jefferson St
New Castle, PA 16101
Phone (724) 658-5597

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1700814290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012178",
            "telephone_number": "724-658-5597",
            "fax_number": "724-658-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N JEFFERSON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012178",
            "telephone_number": "724-658-5597",
            "fax_number": "724-658-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOBER",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "OS007168L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "626978",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015016540001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "626978",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.