Individual provider Active NPI

Shana Danielle Williams

  • Family Medicine Physician
  • Wellington, OH
National Provider Identifier
1942887666
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.149849 Issued in OH
Practice address
840 Patriot Dr
Wellington, OH 44090-8948
Phone
(440) 647-2225
Fax
(440) 647-5110
NPI assigned
Mar 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 35.149849 OH Primary

Addresses

Primary practice location

840 Patriot Dr
Wellington, OH 44090-8948

Mailing address

840 Patriot Dr
Wellington, OH 44090-8948
Phone (440) 647-2225

Other names 1

  • Shana Danielle Strunk Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240807003219 OH Practitioner - Family Practice 9638575913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health-Allen Hospital LLCGroup PAC ID 5092802389, 14 clinicians

Practice addresses (Care Compare)

840 Patriot Dr
Wellington, OH 44090-8948
Phone (440) 647-2225

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 27, 2024 Accepting new patients
Mercy Health-Allen Hospital LLC Current Accepting new patients
Mercy Health-Allen Hospital LLC CurrentSince Jul 27, 2024 Accepting new patients

Locations

840 Patriot Dr
Wellington, OH 44090
Phone (440) 647-2225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1942887666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PATRIOT DR",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440908948",
            "telephone_number": "440-647-2225",
            "fax_number": "440-647-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PATRIOT DR",
            "city": "WELLINGTON",
            "state": "OH",
            "postal_code": "440908948",
            "telephone_number": "440-647-2225",
            "fax_number": "440-647-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.149849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANA",
            "last_name": "STRUNK",
            "middle_name": "DANIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellington, OH

Sources for this page

Verify at the official NPI Registry.