Individual
MICHELLE LEA SHOAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-4579
(614) 722-4565
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-4384
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35-079311
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35-079311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2327048
—
OH
05
—
3810001621
—
WV
05
—
64064207
—
KY
Enumeration date
08/11/2005
Last updated
09/30/2016
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