| Dominique Shy, NP | |
|
3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 | |
| (833) 358-2036 | |
| (855) 299-2185 |
| Full Name | Dominique Shy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3455 Mill Run Dr Ste 310, Hilliard, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144766676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN432341 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030516 (Ohio) | Primary |
| Entity Name | Molina Care Connections, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180220001792 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210303002044 |
| Entity Name | Hometown Urgent Care Of Michigan Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20211014001382 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominique Shy, NP 4126 Harwood Rd, South Euclid, OH 44121-2739 Ph: (216) 324-9879 | Dominique Shy, NP 3455 Mill Run Dr Ste 310, Hilliard, OH 43026-9082 Ph: (833) 358-2036 |
Danielle Lea Black, C.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4961 Roberts Rd, Hilliard, OH 43026 Phone: 401-770-3433 | |
Angela D Wood, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4656 Cemetery Rd, Hilliard, OH 43026 Phone: 614-345-0237 | |
Mrs. Colleen Kristina Miranda, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4961 Roberts Rd, Hilliard, OH 43026 Phone: 937-475-8775 | |
Natalie Ragouzis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4961 Roberts Rd, Hilliard, OH 43026 Phone: 614-850-2407 | |
Lauren Wire, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4533 Cemetery Rd, Hilliard, OH 43026 Phone: 614-527-7045 | |
Stephanie Shockey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2371 Hilliard Rome Road, Hilliard, OH 43026 Phone: 149-210-6486 | |
Amy Jodene Cooper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4961 Roberts Rd # 02540, Hilliard, OH 43026 Phone: 614-850-2407 |