Scott David Shie, MD | |
140 Fox Rd Ste 105, Van Wert, OH 45891-2490 | |
(419) 232-6051 | |
(419) 232-6052 |
Full Name | Scott David Shie |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 18 Years |
Location | 140 Fox Rd Ste 105, Van Wert, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619167236 | NPI | - | NPPES |
201021740 | Medicaid | IN | |
000000721639 | Other | IN | ANTHEM |
3160252 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 35.094960 (Ohio) | Primary |
208800000X | Urology | 01069915A (Indiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Van Wert County Hospital | Van wert, OH | Hospital |
Community Hospitals And Wellness Centers | Bryan, OH | Hospital |
Community Memorial Hospital | Hicksville, OH | Hospital |
Cameron Memorial Community Hospital Inc | Angola, IN | Hospital |
Parkview Regional Medical Center | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Van Wert Medical Services Ltd | 5799707402 | 31 |
Ohiohealth Corporation | 6305758426 | 1940 |
Entity Name | Ohiohealth Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
Entity Name | Van Wert Medical Services Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942268735 PECOS PAC ID: 5799707402 Enrollment ID: O20051222000076 |
Entity Name | Parkview Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447585153 PECOS PAC ID: 2163336967 Enrollment ID: O20100209000823 |
Mailing Address | Practice Location Address |
---|---|
Scott David Shie, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Scott David Shie, MD 140 Fox Rd Ste 105, Van Wert, OH 45891-2490 Ph: (419) 232-6051 |