Samuel Jacob Shine
Orthopaedic Trauma Physician · Springfield, OH
Practice location
100 Medical Center DrSpringfield, OH 45504-2687
- Phone
- (937) 523-1000
NPI record
- NPI
- 1124656921
- Entity type
- Individual (Type 1)
- Enumeration date
- March 29, 2020
- Last updated
- June 29, 2026
- Certified
- June 29, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Trauma Physician Primary | 207XX0801X |
34.017659 | OH |
Mailing address
6551 Centerville Business Pkwy Ste 120Centerville, OH 45459-2696
About Samuel Shine
Samuel Jacob Shine is a healthcare provider registered in the NPI registry with the primary taxonomy Orthopaedic Trauma Physician (code 207XX0801X). The practice location is 100 Medical Center Dr, Springfield, OH 45504-2687. The NPI number 1124656921 was assigned on March 29, 2020 and the record was last updated on June 29, 2026.
Samuel Shine lists a license in the registry: #34.017659 (OH) for Orthopaedic Trauma Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Samuel Jacob Shine?
The NPI number is 1124656921.
What is the phone number of Samuel Shine?
The phone number listed for the practice location is (937) 523-1000.
Where is Samuel Shine located?
100 Medical Center Dr, Springfield, OH 45504-2687.
What is the taxonomy code for Samuel Shine?
The primary taxonomy code is 207XX0801X – Orthopaedic Trauma Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.