DR. SHANE A SERFLING (NPI# 1497724843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497724843 |
| Entity Type | Individual |
| Full Name | DR. SHANE A SERFLING |
| Credential | DO |
| Practice Address |
1120 Polaris Pkwy Suite 100 Columbus OH 43240-4042 |
| Mailing Address |
Po Box 710725 Columbus OH 43271-0725 |
| Practice Telephone | 6148471120 |
| Practice Fax Number | 6148471205 |
| Mailing Telephone | 4407161283 |
| Mailing Fax Number | 4407161605 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036118188 | IL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 34-008486 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036118188 | 05 | |
| IL | RRMCARE THRU CESIISC (GES) | P00936461 | 01 |
| IL | RAILROAD MEDICARE | P00415663 | 01 |
| OH | 2568234 | 05 | |
| IL | BCBS | 36118188 | 01 |
| OH | ANTHEM | 000000209264 | 01 |
| IL | 0361181882 | 05 | |
| IL | RRMCARE THRU CESIISC (GES) | P00936459 | 01 |
| Street Address |
1120 POLARIS PKWY SUITE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43240-4042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609842707 | Marden Physician Services, Inc | Chiropractor | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2006-02-27 |
| 1497158471 | Gifty Adutwum | Physician Assistant | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2014-10-03 |
| 1811328594 | Poel, Inc. | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-12-06 |
| 1467884569 | Arthritis Solutions of Central Ohio, LLC | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-07-31 |
| 1811259492 | Melissa A Troyan | Nurse Practitioner | 1120 Polaris Pkwy, Columbus, OH 43240 | 2012-06-11 |
| 1356676043 | Joanna M Keenan | Physical Therapist | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2009-10-14 |
| 1508008137 | Bodylogic Md of Columbus, LLC | Specialist | 1120 Polaris Pkwy, Suite 100 B, Columbus, OH 43240-4042 | 2009-03-27 |
| 1457533432 | Sherri Haring | Physical Therapist | 1120 Polaris Pkwy, Suite 202, Columbus, OH 43240-4042 | 2007-11-30 |
| 1821283029 | Aesthetic and Plastic Surgery, Inc | Clinic/Center | 1120 Polaris Pkwy, Suite 120, Columbus, OH 43240-4042 | 2007-09-11 |
| 1427180256 | Highfield Mri, Ltd | Radiology | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093376600 | Joseph Benne | Chiropractor | 8922 Lyra Dr, Columbus, OH 43240 | 2019-06-25 |
| 1184284176 | Atone Chiropractic, LLC | Clinic/Center | 8922 Lyra Dr., Columbus, OH 43240 | 2019-06-20 |
| 1467934802 | Stacey M Henry | Counselor | 8276 Tegmen St, Columbus, OH 43240 | 2018-09-02 |
| 1568825933 | Abigail Garnett | Speech-Language Pathologist | 8425 Pulsar Place, Suite 160, Columbus, OH 43240 | 2016-04-01 |
| 1629409479 | Amy Avery | Counselor | 8862 Commerce Loop Dr, Columbus, OH 43240 | 2013-12-04 |
| 1306195995 | Dr. Eric E. Neader, Inc. | Optometrist | 1500 Polaris Parkway, Suite # 1234, Columbus, OH 43240 | 2012-08-29 |
| 1477838282 | Nicholas P Colla | Pharmacist | 1040 Polaris Parkway, Columbus, OH 43240 | 2011-10-13 |
| 1588809958 | Gemini Medicine LLC | General Practice | 1510 Gemini Place, Columbus, OH 43240 | 2008-12-12 |
| 1932364296 | Justine Nnantege Ssebaggala | Licensed Practical Nurse | 9015 Barley Loft Drive, Columbus, OH 43240 | 2008-07-25 |
| 1487818720 | Irfan Khan | Dentist | 2023 Polaris Parkway, Columbus, OH 43240 | 2008-07-16 |
| Find all providers in zip 43240 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396984 | Chisholm Trail Urgent Care Pllc | Emergency Medicine | 11 Tsys Way, Columbus, GA 31901 | 2020-08-12 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1265895262 | Andrew Vang | Emergency Medicine | 4503 Glenhaven Dr, Columbus, OH 43231-5987 | 2016-03-29 |
| 1982065777 | Jack D Sherrer Jr. | Emergency Medicine | 7301 Northlake Drive, Columbus, GA 31909 | 2016-03-08 |
| 1477935393 | Chloe Sidley | Emergency Medicine | 376 W 10th Ave., 760 Prior Hall, Columbus, OH 43210 | 2015-06-27 |
| 1871975755 | Jennifer Cotton | Emergency Medicine | W 10th Ave, 760 Prior Hall, Columbus, OH 43214 | 2015-06-26 |
| 1831584606 | Chase Foy | Emergency Medicine | 376 W. 10th Ave, 774 Prior Hall, Columbus, OH 43210-1280 | 2015-03-30 |
| 1215342506 | George Edward Ashby | Emergency Medicine | 760 Prior Hall 376 W 10th Ave, Columbus, OH 43210-1240 | 2014-06-25 |
| 1376953463 | Matthew Pitzer | Emergency Medicine | 3525 Olentangy River Rd Ste 5320, Columbus, OH 43214 | 2014-04-29 |
| 1275950651 | Julia Elisabeth Ojcius | Emergency Medicine | 1447 Highland St Apt A, Columbus, OH 43201-2741 | 2014-03-24 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.