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

Shane Jeffers, MD

Individual provider Family Medicine Physician · NPI 1053707893

Shane Jeffers, MD is a Family Practice in Hilliard, Ohio. Qualified in 2015, 11 years ago. Practices with Extended Care Specialists, Inc, a 290-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Ohio.

Years since qualifying
11
Licensed in
NY, OH
In the registry since
2015
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

3958 Brown Park Dr Ste D
Hilliard, OH 43026-1160
Phone: (260) 483-9081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Rogers Ln, Shelby, OH 44875-1759 — (419) 347-1313

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35144082 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 300918 (NY)

Record details

NPI number1053707893
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026
Mailing addressPo Box 1431, Charlotte, NC 28201-1431

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Extended Care Specialists, Inc — 290 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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