OrganizationActive
Shadyside Clinic, LLC
NPI 1093183204 · Primary Care Clinic/Center · Shadyside, OH
Provider details
- NPI number
- 1093183204
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lindsay Twarog, Nurse Practitioner and Owner(740) 298-2475
- License
- 16718NP (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3948 Central Ave
Shadyside, OH 43947-1310
Phone: (740) 298-2475
Street-level locationGet directions
Mailing address
65855 Stone Ridge Dr
Belmont, OH 43718-9425
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.