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Individual provider Active NPI

Tara A Shipman, MD

  • Obstetrics & Gynecology Physician
  • Warren, OH
National Provider Identifier
1992700751
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.072324 Issued in OH
Practice address
1651 E Market St
Warren, OH 44483-6600
Phone
(330) 394-4900
Fax
(330) 394-6900
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.072324 OH Primary

Addresses

Primary practice location

1651 E Market St
Warren, OH 44483-6600

Mailing address

100 Debartolo PL Ste 200
Youngstown, OH 44512-6095
Phone (330) 729-8146

Other identifiers 1

IdentifierTypeStateIssuer
2144549MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100805000015 OH Practitioner - Obstetrics/Gynecology 7719990035 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Pediatrix Medical Group of Ohio CorpGroup PAC ID 2365672730, 10 clinicians

Practice addresses (Care Compare)

1651 E Market St
Warren, OH 44483-6600
Phone (330) 394-4900

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (800) 243-3839

Hospital & facility affiliations

  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.072324OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Obstetrics & Gynecology CurrentSince Apr 1, 2025 Accepting new patients
Cairns & Mondary OB GYN Inc Obstetrics & Gynecology CurrentSince Jul 1, 2012 Accepting new patients
Shipman,Eucker and Associates Obstetrics & Gynecology CurrentSince Jul 21, 2006 Accepting new patients
Medcentral Health System Past Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

2652 Elm Rd NE
Cortland, OH 44410
Phone (330) 372-0372

1651 E Market St
Warren, OH 44483
Phone (330) 394-4900

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Organizations & group practices 6

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1992700751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DEBARTOLO PL STE 200",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126095",
            "telephone_number": "330-729-8146",
            "fax_number": "330-965-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836600",
            "telephone_number": "330-394-4900",
            "fax_number": "330-394-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "TARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.072324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144549",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.