Active NPI
Sally R Shott, M.D.
- Pediatric Otolaryngology Physician
- Cincinnati, OH
National Provider Identifier
1891715405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- 35.055227
- Practice address
- 3333 Burnet Ave
ML 2018
Cincinnati, OH 45229-3039 - Phone
- (513) 636-4355
- Fax
- (513) 636-8133
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 35.055227 | OH | Primary |
Addresses
Primary practice location
3333 Burnet Ave
ML 2018
Cincinnati, OH 45229-3039
Mailing address
3333 Burnet Ave
ML 5021
Cincinnati, OH 45229-3039
Phone (513) 636-4225
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.055227 | OH | MD | Pediatric Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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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- Cincinnati, OH
- NPI 1629116645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891715405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 5021",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4225",
"fax_number": "513-636-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2018",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293039",
"telephone_number": "513-636-4355",
"fax_number": "513-636-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOTT",
"first_name": "SALLY",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "OH",
"license": "35.055227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.