Active NPI
Carrie Ross-Shelton, MD
- Public Health & General Preventive Medicine Physician
- Cleveland, OH
National Provider Identifier
1871871327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 35.047155
- Practice address
- 21000 Brookpark Rd
Ms 15-5
Cleveland, OH 44135-3127 - Phone
- (216) 433-5841
- Fax
- (216) 433-6529
- NPI assigned
- Aug 2, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 35.047155 | OH | Primary |
Addresses
Primary practice location
21000 Brookpark Rd
Ms 15-5
Cleveland, OH 44135-3127
Mailing address
21000 Brookpark Rd
Ms 15-5
Cleveland, OH 44135
Phone (216) 433-5841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.047155 | OH | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1871871327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21000 BROOKPARK RD",
"address_2": "MS 15-5",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44135",
"telephone_number": "216-433-5841",
"fax_number": "216-433-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21000 BROOKPARK RD",
"address_2": "MS 15-5",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441353127",
"telephone_number": "216-433-5841",
"fax_number": "216-433-6529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS-SHELTON",
"first_name": "CARRIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-02",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "OH",
"license": "35.047155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.