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

Samuel Jacob Shine

Individual provider Orthopaedic Trauma Physician · NPI 1124656921

Samuel Jacob Shine is an Orthopedic Surgery in Springfield, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 2020, 6 years ago. Practices with The Metrohealth System, a 1,163-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2020

Practice location Address checks out

100 Medical Center Dr
Springfield, OH 45504-2687
Phone: (937) 523-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Trauma Physician (primary) Taxonomy 207XX0801X · Licence 34.017659 (OH)

Record details

NPI number1124656921
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address6551 Centerville Business Pkwy Ste 120, Centerville, OH 45459-2696

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Metrohealth System — 1163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount