Individual provider Active NPI

Cherilyn Marie Shurtz, M.D.

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1720281587
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35089464 Issued in OH
Practice address
7629 Kings Pointe Rd
Toledo, OH 43617-1514
Phone
(419) 841-6442
Fax
(419) 841-6338
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35089464 OH Primary

Addresses

Primary practice location

7629 Kings Pointe Rd
Toledo, OH 43617-1514

Mailing address

7629 Kings Pointe Rd
Toledo, OH 43617-1514
Phone (419) 841-6442

Other identifiers 1

IdentifierTypeStateIssuer
2777875MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35089464OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients
Northwest Children'S Community Practices II, LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cherilyn.shurtz.2@166.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1720281587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7629 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171514",
            "telephone_number": "419-841-6442",
            "fax_number": "419-841-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7629 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171514",
            "telephone_number": "419-841-6442",
            "fax_number": "419-841-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURTZ",
        "first_name": "CHERILYN",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35089464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2777875",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.