Individual provider Active NPI

Shawn Steven Osterholt, M.D.

  • Obstetrics & Gynecology Physician
  • Springfield, OH
National Provider Identifier
1740383124
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
350762270 Issued in OH
Practice address
1108 Vester Ave
Springfield, OH 45503-1302
Phone
(937) 399-7100
Fax
(937) 399-7355
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 350762270 OH Primary

Addresses

Primary practice location

1108 Vester Ave
Springfield, OH 45503-1302

Mailing address

1108 Vester Ave.
Springfield, OH 45503-1302
Phone (937) 399-7100

Other practice location 1

651 S Limestone St
Springfield, OH 45505-1965
Phone (937) 328-7260

Other identifiers 1

IdentifierTypeStateIssuer
2470062MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000747 OH Practitioner - Obstetrics/Gynecology 5698757615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Springfield Specialty Care LLCGroup PAC ID 4284059981, 129 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-4147

1108 Vester Ave
Springfield, OH 45503-1302
Phone (937) 339-7100

1821 E High St
Springfield, OH 45505-1225
Phone (937) 323-7340

900 Scioto St
Suite 1
Urbana, OH 43078-2251
Phone (937) 717-4884

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
350762270OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Rocking Horse Childrens Health Center CurrentSince Mar 21, 2018 Accepting new patients
Mercy Health Physicians Springfield Specialty Care LLC CurrentSince Jun 6, 2021 Accepting new patients
Rocking Horse Childrens Health Center CurrentSince Mar 21, 2018 Accepting new patients
Shawn S Osterholt MD LLC Obstetrics & Gynecology PastSince May 9, 2005 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Community Mercy Health Partners Past Accepting new patients

Locations

1108 Vester Ave
Springfield, OH 45503
Phone (937) 339-7100

651 S Limestone St
Springfield, OH 45505
Phone (937) 324-1111

900 Scioto St
Ste 1
Urbana, OH 43078
Phone (937) 653-4666

Interoperability endpoints

  • Direct secure messaging: shawn.osterholt.p1@direct.rockinghorsecenter.nextgenshare.com
  • Direct secure messaging: sosterholt45673@direct.bsmhealth.org
  • Direct secure messaging: sosterholt1186771@direct.osumc.edu
  • Direct secure messaging: sosterholt@direct.ovsurgical.com

Organizations & group practices 7

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.

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1740383124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 VESTER AVE.",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031302",
            "telephone_number": "937-399-7100",
            "fax_number": "937-399-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 VESTER AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031302",
            "telephone_number": "937-399-7100",
            "fax_number": "937-399-7355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 S Limestone St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OH",
            "postal_code": "455051965",
            "country_code": "US",
            "telephone_number": "937-328-7260",
            "fax_number": "937-328-7258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSTERHOLT",
        "first_name": "SHAWN",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "350762270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.