Provider Demographics
NPI:1598709669
Name:SHEMENSKI, RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:SHEMENSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7685 W PORTAGE RIVER SOUTH RD
Mailing Address - Street 2:
Mailing Address - City:OAK HARBOR
Mailing Address - State:OH
Mailing Address - Zip Code:43449-9615
Mailing Address - Country:US
Mailing Address - Phone:419-898-3852
Mailing Address - Fax:
Practice Address - Street 1:7685 W PORTAGE RIVER SOUTH RD
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:OH
Practice Address - Zip Code:43449-9615
Practice Address - Country:US
Practice Address - Phone:419-898-3852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34040098207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSH0425271Medicare ID - Type Unspecified
AK021310Medicare Oscar/Certification
AKTEZ042Medicare PIN
OHA75671Medicare UPIN