Active NPI
Thomas E Shockley Jr., MD
- Orthopaedic Surgery Physician
- Norwood, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 35064461
- Practice address
- 4600 Smith Rd
Suite B
Norwood, OH 45212-2793 - Phone
- (513) 221-4848
- Fax
- (513) 872-7825
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 35064461 | OH | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 35064461 | OH | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 35064461 | OH |
Addresses
Primary practice location
4600 Smith Rd
Suite B
Norwood, OH 45212-2793
Mailing address
4685 Forest Ave
Ste C
Cincinnati, OH 45212-3359
Phone (513) 853-4749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200018244 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Meharry Medical College School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trihealth G LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Trihealth G, LLC | Current | Accepting new patients | |
| Trihealth H LLC | Current | Accepting new patients | |
| Trihealth Physician Institute | Past | Accepting new patients |
Locations
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
8240 Northcreek Dr
Ste 2000
Cincinnati, OH 45236
Phone (513) 481-3400
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721
8311 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 246-2300
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
7450 S Mason Montgomery Rd
Unit 208
Mason, OH 45040
Phone (513) 229-8460
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
10547 Montgomery Rd
#400
Montgomery, OH 45242
Phone (513) 745-8030
4600 Smith Rd
Ste B
Norwood, OH 45212
Phone (513) 221-4848
4685 Forest Ave
Ste C
Norwood, OH 45212
Phone (513) 246-7796
Interoperability endpoints
- tshockley27423@direct.trihealth.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.
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- NPI 1922051697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508371200000",
"number": "1831172568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4685 FOREST AVE",
"address_2": "STE C",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452123359",
"telephone_number": "513-853-4749",
"fax_number": "513-853-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SMITH RD",
"address_2": "SUITE B",
"city": "NORWOOD",
"state": "OH",
"postal_code": "452122793",
"telephone_number": "513-221-4848",
"fax_number": "513-872-7825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOCKLEY",
"first_name": "THOMAS",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2017-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35064461",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "OH",
"license": "35064461",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "OH",
"license": "35064461",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200018244",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.