Jerry Keith Shell (NPI# 1235132135, PAC ID# 9830213057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1235132135 |
| PAC ID by PECOS | 9830213057 |
| Professional Enrollment ID | I20100825000258 |
| Full Name | Jerry Keith Shell |
| Organization Legal Name | EYE PHYSICIANS OF SPRINGFIELD, INC |
| Address |
2254 Olympic St Springfield OH 45503-2737 |
| Phone Number | 9373998287 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3072546373 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360355 | OHIO VALLEY MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 2254 Olympic St, Springfield, OH 45503-2737 | 9373998287 | EYE PHYSICIANS OF SPRINGFIELD, INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 95% | |
| MIPS_EC_111_overall | Pneumococcal Vaccination Status for Older Adults | 90% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 99% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | EYE PHYSICIANS OF SPRINGFIELD, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Brian Wittstein | Ophthalmology | Eye Physicians of Springfield, Inc | 2254 Olympic St, Springfield, OH 45503-2737 |
| Donghai V Ho | Ophthalmology | Eye Physicians of Springfield, Inc | 2254 Olympic St, Springfield, OH 45503-2737 |
| Street Address |
2254 OLYMPIC ST |
| City | SPRINGFIELD |
| State | OH |
| Zip | 45503-2737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Brian Wittstein | Ophthalmology | Eye Physicians of Springfield, Inc | 2254 Olympic St, Springfield, OH 45503-2737 |
| Donghai V Ho | Ophthalmology | Eye Physicians of Springfield, Inc | 2254 Olympic St, Springfield, OH 45503-2737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen M Carter | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Briana Lynne Deacon | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Eric J Ashford | Anesthesiology | Northstar Anesthesia of Ohio LLC | 2610 N Limestone St, Springfield, OH 45503-1114 |
| Sandy Danielle Turner | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Sami Muhammad Khan | Family Medicine | Mercy Health Physicians Cincinnati LLC | 211 Northparke Dr, Springfield, OH 45503-1117 |
| Joseph M Smith | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Libby Jo Wilson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Laura B Thompson | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Alper Sarihan | Family Medicine | Northside Family Physicians, Ltd. | 280 Red Coach Dr, Springfield, OH 45503-1297 |
| Kelly Debrosse | Nurse Practitioner | Ob Gyn Ltd | 1108 Vester Ave, Springfield, OH 45503-1302 |
| Find all physicians in zip 45503 | |||
| City | SPRINGFIELD |
| Zip Code | 45503 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SPRINGFIELD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jerry Keith Shell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.