MR. STEPHEN ALAN SHELLHAAS NP NPI 1699883991

NPI Information

NPI: 1699883991
Provider Name: MR. STEPHEN ALAN SHELLHAAS, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
5735 MEEKER RD
GREENVILLE, OH
ZIP 45331
Phone: (937) 548-9680
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MR. Stephen Alan Shellhaas, NP is a pediatrics nurse practitioner in Greenville, OH. MR. Stephen Alan Shellhaas, NP NPI is 1699883991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5735 MEEKER RD
GREENVILLE, OH
ZIP 45331-180
Phone: (937) 548-9680

The enumeration date for this NPI number is 8/27/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	05240	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05240	OTHER	OHIO	NP PEDIATRIC PRESCRIBER
2	19990118	OTHER	OHIO	CERT PEDIATRIC NP
3	2156705	MEDICAID	OHIO
4	267228	OTHER	OHIO	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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