Katherine A O'Shea, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35-06-6658-0 Issued in OH

Practice address

9318 State Route 14
1St Floor
Streetsboro, OH 44241

Phone

(330) 626-3455

Fax

(330) 626-4189

NPI assigned

Jun 28, 2006

Sex

Female

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 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  NPD (past)
• University Primary Care Practices Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mentor, OH
  • NPI 1053405217
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1871521096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "address_2": "1ST FLOOR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-626-3455",
            "fax_number": "330-626-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 STATE ROUTE 14",
            "address_2": "1ST FLOOR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "44241",
            "telephone_number": "330-626-3455",
            "fax_number": "330-626-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-06-6658-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0104292",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherineoshea@uhps.allscripts.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katherineoshea@uhps.allscripts.net",
            "affiliation": "N",
            "address_1": "960 Clague Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jackie Nida
• Northern Health Facilities, Inc.
• Caren Nowak, L.I.S.W. LLC
• Justine Nutter
• Hugh A. O'Neill, MD
• Kyley Ogard, CNP
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio Dental Professionals, Delisle, P.C.
• Wendy K Padgett

• Emergency Medicine Physician in Streetsboro, OH
• Providers in Streetsboro, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.