Active NPI
Shelley Irene Odronic, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Edgewood, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- TP338
- Practice address
- 1 Medical Village Dr
Edgewood, KY 41017-3403 - Phone
- (859) 301-2018
- Fax
- (859) 301-2073
- NPI assigned
- Apr 5, 2010
- Last updated
- Aug 15, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35.122255 | OH | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | TP338 | KY | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 01077007A | IN |
Addresses
Primary practice location
1 Medical Village Dr
Edgewood, KY 41017-3403
Mailing address
PO Box 636324
Cincinnati, OH 45263-6324
Phone (859) 301-2018
Other practice location 1
750 W High St
Suite 400
Lima, OH 45801
Phone (419) 226-9224
Other practice location 2
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2018
Other names 1
- Ms. Shelley Irene Redfern
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Texas Southwestern Medical School at Dallas, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 301-2237
600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 301-2465
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP338 | KY | MD | Emergency Medicine Physician |
| 01077007A | IN | MD | Anatomic Pathology & Clinical Pathology Physician |
| 35.122255 | OH | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| Lima Pathology Associates Inc | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Joint Township District Memorial Hospital | Current | Accepting new patients | |
| New Vision Medical Laboratories, LLC | Current | Accepting new patients | |
| St Elizabeth Medical Center, Inc | Current | Accepting new patients | |
| JTDM Family Practice LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
204 Bridgeway St
Aurora, IN 47001
Phone (812) 926-3133
600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
750 W High St
Ste 400
Lima, OH 45801
Phone (419) 226-9021
200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St. Elizabeth Healthcare
- Physician Assistant
- Erlanger, KY
- NPI 1932187937
IN
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
- Anatomic Pathology & Clinical Pathology Physician
- Lima, OH
- NPI 1235115437
-
- Community/Retail Pharmacy
- Florence, KY
- NPI 1104699453
-
- Clinical Medical Laboratory
- Lima, OH
- NPI 1679820534
-
- Family Medicine Physician
- Saint Marys, OH
- NPI 1184652539
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St Elizabeth Florence
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
dba St Elizabeth Ft. Thomas
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
-
dba St Elizabeth Dearborn
- General Acute Care Hospital
- Lawrenceburg, IN
- NPI 1326142498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1851616676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636324",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636324",
"telephone_number": "859-301-2018",
"fax_number": "859-301-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL VILLAGE DR",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173403",
"telephone_number": "859-301-2018",
"fax_number": "859-301-2073"
}
],
"practiceLocations": [
{
"address_1": "750 W High St",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "45801",
"country_code": "US",
"telephone_number": "419-226-9224",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Wilson Creek Rd",
"address_purpose": "LOCATION",
"city": "Lawrenceburg",
"state": "IN",
"postal_code": "470252751",
"country_code": "US",
"telephone_number": "859-301-2018",
"fax_number": "859-301-2073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ODRONIC",
"first_name": "SHELLEY",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-05",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35.122255",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "TP338",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IN",
"license": "01077007A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLEY",
"last_name": "REDFERN",
"middle_name": "IRENE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.