DR. SHELLEY A STANFORTH (NPI# 1689774085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689774085 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY A STANFORTH |
| Credential | MD |
| Practice Address |
67 Nunner Rd Maineville OH 45039 |
| Mailing Address |
67 Nunner Rd. Maineville OH 45039 |
| Practice Telephone | 5136772405 |
| Practice Fax Number | 5136772781 |
| Mailing Telephone | 5136772405 |
| Mailing Fax Number | 5136772781 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35-065438 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE | 36-06-5438 | 01 |
| OH | 2032606 | 05 |
| Street Address |
67 NUNNER RD |
| City | MAINEVILLE |
| State | OH |
| Zip Code | 45039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972582799 | Ted J Schoettinger | Family Medicine | 67 Nunner Rd, Maineville, OH 45039 | 2006-01-11 |
| 1336707637 | Tiffany Dawn Hopkins | Social Worker | 67 Nunner Rd, Maineville, OH 45039-9632 | 2019-05-31 |
| 1629453576 | Rebecca Mackenzie Moates | Nurse Practitioner | 67 Nunner Rd, Maineville, OH 45039-9632 | 2015-07-21 |
| 1376922625 | Cynthia Schmidlin | Physical Therapist | 67 Nunner Rd, Maineville, OH 45039-9632 | 2015-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1508495094 | Improved Life Home Care LLC | Home Health | 2575 W. Us. Rt 22 - 3, Maineville, OH 45039 | 2020-04-06 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 1801384060 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Dentist | 45 E Us Route 22, Maineville, OH 45039 | 2018-04-24 |
| 1760979058 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Clinic/Center | 45 E Us Route 22 & 3, Maineville, OH 45039 | 2018-04-23 |
| 1689172165 | Tammy Lynn Morneau | Behavioral Analyst | 7264 Columbia Rd Ste 1000, Mason, OH 45039 | 2018-01-30 |
| 1205351269 | Kimberly Hensley | Speech-Language Pathologist | 7247 Zoar Rd., Maineville, OH 45039 | 2017-08-10 |
| 1265953715 | Leslie Erin Ealy | Registered Nurse | 233 Bannock Dr, Maineville, OH 45039 | 2017-07-05 |
| 1760929103 | Mortenson Family Dental Center - Maineville LLC | Dentist | 6028 South State Road 48, Maineville, OH 45039 | 2017-01-24 |
| 1013379494 | Suzzanne Helphinstine | Physical Therapist | 7952 Acorn Trail, Maineville, OH 45039 | 2016-03-24 |
| Find all providers in zip 45039 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235324401 | Maineville Family Physicians Inc | Family Medicine | 67 Nunner Rd., Maineville, OH 45039 | 2007-09-11 |
| 1982674172 | Vikki Owen | Family Medicine | 1156 Autumn Run Dr, Maineville, OH 45039-5074 | 2006-01-23 |
| 1972582799 | Ted J Schoettinger | Family Medicine | 67 Nunner Rd, Maineville, OH 45039 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | MAINEVILLE |
| Zip Code | 45039 |
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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.