Provider Type Icon

ROBERT J. SHELLITO DPM INC. NPI 1942472139


NPI Information

NPI: 1942472139
Provider Name: ROBERT J. SHELLITO DPM, INC.

Former Legal Business Name: ROBERT J. SHELLITO, DPM, LLC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1543 E MARKET ST
WARREN, OH
ZIP 44483
Phone: (330) 392-2700
Get Directions

ROBERT J. SHELLITO DPM, INC. is a podiatrist in Warren, OH. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. ROBERT J. SHELLITO DPM, INC. NPI is 1942472139. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Robert J. Shellito, Dpm, Llc.

The provider's business location address is:

1543 E MARKET ST
WARREN, OH
ZIP 44483-639
Phone: (330) 392-2700
Fax: (330) 392-2707

The provider's authorized official is Robert Jude Shellito .
The authorized official title is President/podiatrist and has the following contact phone number (330) 534-4438.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 11/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristSC005955PENNSYLVANIANo
2213E00000XPodiatrist36003129OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101757359 0002MEDICAIDPENNSYLVANIA
22154163MEDICAIDOHIO
3SH0895948MEDICARE PINOHIO
4RO9375401MEDICARE PINOHIO
5U78081MEDICARE UPINOHIO
66150950001MEDICARE NSCOHIO
7124702MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.