Physician Compare National (NPI:1063439651)

HEALTHCARE PROVIDER: JAMES F SHINA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063439651
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8224035167
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20061107000096
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SHINA
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	FRANCIS
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	2003
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	STEWARD MEDICAL GROUP INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2860688728
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	1543
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1350 E MARKET ST
	Group Practice or individual's line 1 address
City	WARREN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	444836608
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3308415969
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360055
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	STEWARD TRUMBULL MEMORIAL HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360352
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SURGICAL HOSPITAL AT SOUTHWOODS
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	360064
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	ST ELIZABETH YOUNGSTOWN HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	360180
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	CLEVELAND CLINIC
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y