Othman Aly Shemisa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35053948 Issued in OH

Practice address

26908 Cook Rd
Olmsted Falls, OH 44138-3548

Phone

(440) 414-9700

Fax

(440) 235-1045

NPI assigned

Jan 26, 2006

Last updated

Apr 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1841260189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26908 COOK RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441383548",
            "telephone_number": "440-414-9700",
            "fax_number": "440-235-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26908 COOK RD",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383548",
            "telephone_number": "440-414-9700",
            "fax_number": "440-235-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEMISA",
        "first_name": "OTHMAN",
        "middle_name": "ALY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35053948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMA",
            "identifier": "F53948",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000128725",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0636271",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080144328",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lidia Russo, MSN CNP
• James Charles Schneider, DDS
• Robin Scott, M.ED
• Sara Mohamed Wafaey Sedky
• Scott Leonard Sedlacek, OD
• Mark Edgar Sichley, DC
• Constance Sinreich
• Julie Smith
• Deborah Jean Snyder
• Angelica Joy Stout, RN

• Family Medicine Physician in Olmsted Falls, OH
• Providers in Olmsted Falls, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.