Provider Demographics
NPI:1255653085
Name:SHILLINGTON, AMELLE GADSBY (DO)
Entity Type:Individual
Prefix:
First Name:AMELLE
Middle Name:GADSBY
Last Name:SHILLINGTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AME
Other - Middle Name:
Other - Last Name:SHILLINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3333 BURNET AVE.
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3026
Mailing Address - Country:US
Mailing Address - Phone:513-636-4760
Mailing Address - Fax:514-636-7297
Practice Address - Street 1:3333 BURNET AVE.
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4760
Practice Address - Fax:514-636-7297
Is Sole Proprietor?:No
Enumeration Date:2010-02-21
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
OH34.015182207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No374J00000XNursing Service Related ProvidersDoula