Jennifer M. Shade, M.D.
Ophthalmology · Beavercreek, OH
UnclaimedM.D.NPI 1801028600
- Primary taxonomy
- 207W00000X
- Enumerated
- 2009-08-13
- Practice location
- Beavercreek, OH
- Last NPPES update
- 2014-11-04
State licenses
- MN · Physician · NPPES self-reportedListed on NPI record
- OH · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.