Individual
DR. JEFFREY F SHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 RICHMOND RD STE 100, WARRENSVILLE HEIGHTS, OH 44128-5985
(216) 973-5807
Mailing address
7345 EDWARDS LNDG, CHAGRIN FALLS, OH 44023-1429
(216) 369-2830
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
35.058254CTR
OH
207X00000X
Orthopaedic Surgery Physician
Primary
35058254
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0744958
—
OH
01
—
P00381215
RR MEDICARE
OH
Enumeration date
12/29/2005
Last updated
12/17/2025
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