Active NPI
Tina Marie Piscitelli-Shaffer, D.O.
- Emergency Medicine Physician
- Chardon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34.009796
- Practice address
- 13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032 - Phone
- (440) 285-6184
- NPI assigned
- Oct 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34.009796 | OH | Primary |
Addresses
Primary practice location
13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032
Mailing address
13207 Ravenna Rd
Geauga Medical Center
Chardon, OH 44024-7032
Phone (440) 285-6184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, WI, PA, IL, NY, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13207 Ravenna Rd
Chardon, OH 44024-7032
Phone (240) 686-2300
Hospital & facility affiliations
- Uh Regional Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.58 of 100
- Quality
- 84.22
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.38 of 100
- Quality
- 79.57
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328171 | NY | MD | Registered Nurse |
| 34.009796 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Physicians Link Center LLC | Emergency Medicine | Current | Accepting new patients |
| Magis Emergency Medicine LLC | Emergency Medicine | Current | Accepting new patients |
| Ues Ahuja LLC | Emergency Medicine | Current | Accepting new patients |
| Pic Indiana PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| Ues Geauga, LLC | Emergency Medicine | Current | Accepting new patients |
| University Hospitals Urgent Care, LLC | Current | Accepting new patients | |
| University Hospitals Urgent Care, LLC | Current | Accepting new patients | |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Lake County LTD | Emergency Medicine | Current | Accepting new patients |
| Physicians Immediate Care North Chicago LLC | Current | Accepting new patients | |
| The Metrohealth System | Emergency Medicine | Current | Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
800 N Larkin Ave
Joliet, IL 60435
Phone (815) 741-4300
900 Johnson St
Elkhart, IN 46514
Phone (574) 747-8004
924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056
505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
3909 Orange Pl
Ste 2100
Beachwood, OH 44122
Phone (216) 896-1800
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
10575 Springfield Pike
Cincinnati, OH 45215
Phone (513) 815-3852
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226
630 E River St
Elyria, OH 44035
Phone (440) 329-7450
6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500
7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000
6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Interoperability endpoints
- tpiscitellishaffer37276@ehrdirect.uhhospitals.org
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Chardon, OH
- NPI 1841242997
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1154763944
-
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
-
- Emergency Medicine Physician
- Parma, OH
- NPI 1801287511
-
- Emergency Medicine Physician
- Elyria, OH
- NPI 1235172925
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1053353896
Emergency Medicine
-
- Emergency Medicine Physician
- Beachwood, OH
- NPI 1467883934
-
- Urgent Care Clinic/Center
- Beachwood, OH
- NPI 1124765052
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chardon, OH
- NPI 1669562864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372032000000",
"number": "1891946307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"address_2": "GEAUGA MEDICAL CENTER",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"address_2": "GEAUGA MEDICAL CENTER",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISCITELLI-SHAFFER",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-02",
"last_updated": "2013-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34.009796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.