NPIMap

Individual provider Active NPI

Benjamin L. Shipton, DO

  • Family Medicine Physician
  • Mercer, PA
National Provider Identifier
1912980723
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS009964L Issued in PA
Practice address
737 Greenville Rd
Mercer, PA 16137-5023
Phone
(724) 662-2650
Fax
(724) 662-1338
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS009964L PA Primary

Addresses

Primary practice location

737 Greenville Rd
Mercer, PA 16137-5023

Mailing address

100 Shenango Ave
Sharon, PA 16146-1503
Phone (724) 662-2650

Other identifiers 1

IdentifierTypeStateIssuer
0018011130002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000852 PA Practitioner - Family Practice 0648464776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health NetworkGroup PAC ID 9234046228, 64 clinicians

Practice addresses (Care Compare)

737 Greenville Rd
Mercer, PA 16137-5070
Phone (724) 662-2650

Hospital & facility affiliations

  • Upmc Horizon Hospital, Greenville, PA, CCN 390178
  • Upmc Jameson Hospital, New Castle, PA, CCN 390016
  • Grove City Medical Center Hospital, Grove City, PA, CCN 390266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009964LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Network CurrentSince Nov 1, 2000 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2018 Accepting new patients
Primary Health Network CurrentSince Nov 1, 2000 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Primary Health Network Past Accepting new patients
Primary Health Network Family Medicine Past Accepting new patients

Locations

650 East Ave
Erie, PA 16503
Phone (814) 455-5505

2000 Memorial Dr
Farrell, PA 16121
Phone (724) 528-2513

2000 Green St
Farrell, PA 16121
Phone (724) 342-6600

2000 Green St
Bldg B
Farrell, PA 16121
Phone (724) 342-6900

348 Main St
Greenville, PA 16125
Phone (724) 588-5250

737 Greenville Rd
Mercer, PA 16137
Phone (724) 662-1414

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

417 Walnut St
Saltsburg, PA 15681
Phone (724) 639-9191

63 Pitt St
Sharon, PA 16146
Phone (724) 342-6604

100 Shenango Ave
Sharon, PA 16146
Phone (724) 704-8886

Interoperability endpoints

  • Direct secure messaging: benjaminshipton@primaryhn.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1912980723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHENANGO AVE",
            "city": "SHARON",
            "state": "PA",
            "postal_code": "161461503",
            "telephone_number": "724-662-2650",
            "fax_number": "724-662-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 GREENVILLE RD",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161375023",
            "telephone_number": "724-662-2650",
            "fax_number": "724-662-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPTON",
        "first_name": "BENJAMIN",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS009964L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018011130002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer, PA

Sources for this page

Verify at the official NPI Registry.