NPIMap

Individual provider Active NPI

Kenneth S Sharlin, MD

  • Neurology Physician
  • Ozark, MO
National Provider Identifier
1790749182
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2000160886 Issued in MO
Practice address
5528 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone
(417) 485-4330
Fax
(417) 485-4424
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2000160886 MO
Neurology Physician 2084N0400X 2000160886 MO Primary

Addresses

Primary practice location

5528 N Farmer Branch Rd
Ozark, MO 65721-5315

Mailing address

5528 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 485-4330

Other identifiers 3

IdentifierTypeStateIssuer
1790749182MedicaidMO
205011711MedicaidMO
P00270477OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051202000616 MO Practitioner - Neurology 1052331170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Emory University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharlin Health and Neurology LLCGroup PAC ID 2961710496, 2 clinicians

Practice addresses (Care Compare)

5528 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 485-4330

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040
  • Cox Medical Center Branson Hospital, Branson, MO, CCN 260094
  • Mercy Hospital Springfield Hospital, Springfield, MO, CCN 260065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000160886MOMDInternal Medicine Physician
2000160866MOMDPsychiatry Physician
30110TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharlin Health and Neurology, LLC Neurology CurrentSince Oct 26, 2015 Accepting new patients
Saint Thomas Medical Partners Internal Medicine Past Accepting new patients
Nashville Neuroscience Group Past Accepting new patients
Ozarks Medical Center Neurology Past Accepting new patients

Locations

5528 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 485-4330

Interoperability endpoints

  • Direct secure messaging: sharlinhealth.kennethsharlin@132279.advancedmd-direct.com

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1790749182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 N FARMER BRANCH RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215315",
            "telephone_number": "417-485-4330",
            "fax_number": "417-485-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 N FARMER BRANCH RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215315",
            "telephone_number": "417-485-4330",
            "fax_number": "417-485-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARLIN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2000160886",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2000160886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790749182",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205011711",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00270477",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.