Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER MARIE SHADE, M.D.
ActiveOphthalmology · BEAVERCREEK, OH
Registration Details
- NPI Number
- 1801028600
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2009 (16.706448577522 yrs)
- Last Updated
- Nov 4, 2014
- Licenses
-
56584 (MN)35123554 (OH)
Practice Information
- Address
-
89 SYLVANIA DRBEAVERCREEK, OH, 454403281Browse OH providers · Browse ZIP 45440
- Phone
- 9373202020
- Primary Specialty
-
Ophthalmology
207W00000X
- Additional Specialty
- Ophthalmology
Other Ophthalmology Providers in BEAVERCREEK, OH
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN RAY STAHL | M.D. | 1942202700 |
| JAMES ROY KNOWLES | M.D. | 1053306001 |
| DR. SUNG KWONG OR | D.O. | 1477511475 |
| MARY ELLEN WEIMER | M.D. | 1205256708 |
| TYLER BERGER | — | 1437646700 |
| CALEB LILES | DO | 1255918736 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.