Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Hayden Shamrock

Individual provider Family Medicine Physician · NPI 1730717356

Keith Hayden Shamrock is a Family Practice in Wauseon, Ohio. Graduated from Liberty Univ College of Osteopathic Medicine in 2020, 6 years ago. Practices with Fchc Medical Care, LLC, a 58-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

735 S Shoop Ave
Wauseon, OH 43567-1735
Phone: (419) 335-3242
Fax: (419) 335-3222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34.017988 (OH)

Record details

NPI number1730717356
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2020
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address735 S Shoop Ave, Wauseon, OH 43567-1735

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Fchc Medical Care, Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wauseon