Healthcare Provider Details

I. General information

NPI: 1447812151
Provider Name (Legal Business Name): SHAYNE ERMAN DPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 NILES CORTLAND RD SE STE 103
WARREN OH
44484-2473
US

IV. Provider business mailing address

628 NILES CORTLAND RD SE
WARREN OH
44484-2473
US

V. Phone/Fax

Practice location:
  • Phone: 330-372-2218
  • Fax: 330-997-8927
Mailing address:
  • Phone: 330-372-2218
  • Fax: 330-997-8927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number State

VIII. Authorized Official

Name: SHAYNE M ERMAN
Title or Position: OWNER
Credential: DPM
Phone: 330-372-2218