Individual provider Active NPI

Shaun E Roe, DO

  • Family Medicine Physician
  • Belmont, OH
National Provider Identifier
1750558797
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.010018 Issued in OH
Practice address
66840 Belmont Morristown Rd
Belmont, OH 43718-9665
Phone
(740) 782-1031
NPI assigned
May 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34.010018 OH Primary

Addresses

Primary practice location

66840 Belmont Morristown Rd
Belmont, OH 43718-9665

Mailing address

66840 Belmont Morristown Rd
Belmont, OH 43718-9665
Phone (740) 782-1031

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
I20101102000038 OH Practitioner - Family Practice 2264626449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Barnesville Hospital Association, Inc. CurrentSince Nov 7, 2010 Accepting new patients
Barnesville Hospital Association, Inc. CurrentSince Nov 7, 2010 Accepting new patients

Locations

639 W Main St
Barnesville, OH 43713
Phone (740) 425-3941

66840 Belmont Morristown Rd
#R
Belmont, OH 43718
Phone (740) 782-1031

66840 Belmont Morristown Rd
Belmont, OH 43718
Phone (740) 782-1031

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harrison Community Hospital Inc.Cadiz, OH, CCN 361311 Hospital Corporate Director Apr 1, 2021
Harrison Community Hospital Inc.Cadiz, OH, CCN 36Z311 Hospital Corporate Director Apr 1, 2021
Barnesville HospitalBarnesville, OH, CCN 361321 Hospital Corporate Director Apr 1, 2021
Barnesville Hospital Association, Inc.Barnesville, OH, CCN 36Z321 Hospital Corporate Director Apr 1, 2021
Morristown Family MedicineBelmont, OH, CCN 363434 Rural health clinic Corporate Director Apr 1, 2021
Barnesville Family Medicine EastBarnesville, OH, CCN 363444 Rural health clinic Corporate Director Aug 13, 2024

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1750558797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66840 BELMONT MORRISTOWN RD",
            "city": "BELMONT",
            "state": "OH",
            "postal_code": "437189665",
            "telephone_number": "740-782-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66840 BELMONT MORRISTOWN RD",
            "city": "BELMONT",
            "state": "OH",
            "postal_code": "437189665",
            "telephone_number": "740-782-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "SHAUN",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.010018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, OH

Sources for this page

Verify at the official NPI Registry.