Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Adam Shaner, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659634269

Dr. John Adam Shaner, MD is an Emergency Medicine in Kettering, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 2012, 14 years ago. Practices with Riverside Physician Services Inc, a 793-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone: (800) 875-0136
Fax: (937) 619-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35-122761 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659634269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2012
Last updated in NPPESMarch 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Riverside Physician Services Inc — 793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kettering