Kimberly C Sheets, DO
Individual provider Active NPI Family Medicine Physician · Lodi, OH
NPI 1790765386 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1790765386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34-008209 (OH)
- Practice address
- 225 Elyria St
Lodi, OH 44254 - Phone
- (330) 948-9939
- Fax
- (330) 948-2263
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lodi Community Hospital
Practice addresses (Care Compare)
225 Elyria St
Lodi, OH 44254-1216
Phone (330) 948-5533
Hospital & facility affiliations
- Cleveland Clinic Home Care
- Lodi Community Hospital
- Cleveland Clinic
- Medina Hospital
- Akron General Medical Center
- Summa Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040916001261 | OH | Practitioner - Family Practice | 4183692288 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008209 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lodi Community Hospital | Current |
Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Lodi Community Hospital | Current |
Accepting new patients | |
| Partners Physician Group | Past | Accepting new patients | |
| Akron General Medical Center | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lodi Community Care Center | Family Medicine | Past | Accepting new patients |
Locations
1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760
225 Elyria St
Lodi, OH 44254
Phone (330) 948-1222
221 Elyria St
Ste 102
Lodi, OH 44254
Phone (330) 948-1827
Interoperability endpoints
- ksheets387183@direct.ccf.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34-008209 | OH | Yes |
Addresses
Primary practice location
225 Elyria St
Lodi, OH 44254
Mailing address
225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-5533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801807870 | Other | OH | LODI HOSPITAL TYPE 2 NPI # |
| 1003849910 | Other | OH | LODI COMMUNITY CARE CENTER TYPE 2 NPI # |
| 2396081 | Other | OH | LODI HOSPITAL MEDICAID # |
| 3613031 | Other | OH | LODI HOSPITAL MEDICARE # |
| 2504909 | Medicaid | OH |
Other providers in Lodi, OH
- Radiology and Imaging Services, Inc
- Ashley Lynn Robinson
- S.V.F.E. Ambulance, LLC
- Janice Marie Scheufler
- Cherie Ann Shafer
- Sage Simon
- Society for Handicapped Citizens
- Sullivan Volunteer Fire & EMS
- Svfe Ambulance
- Rickey Tackett Jr.
All providers in Lodi, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.