Thomas M Shirck, D.O.

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

34002905 Issued in OH

Practice address

4925 Bradenton Ave
Suite C
Dublin, OH 43017-7532

Phone

(614) 336-7666

Fax

(614) 336-7682

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan C Lachance, AU.D.

  • Audiologist
  • Columbus, OH
  • NPI 1730374729
  Medicare reassignment

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1922030592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE",
            "address_2": "SUITE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-336-7666",
            "fax_number": "614-336-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 BRADENTON AVE",
            "address_2": "SUITE C",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177532",
            "telephone_number": "614-336-7666",
            "fax_number": "614-336-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRCK",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "OH",
            "license": "34002905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489350",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophie Shilling, RBT
• Helen Shim
• Gabrielle Shimko
• Courtney Jo Shine, MOT, OTR/L
• Kathleen Shiplett, DPT
• Tiffaney L Shirk, CNP
• Jason Daniel Shoemaker, D.O.
• Molly Ann Shoemaker, C.N.M.
• Elizabeth Short, PT, DPT, OCS
• Nicole Melissa Short, D.C., M.S.

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Dublin, OH
• Providers in Dublin, OH by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.