Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114484581 Individual Practitioner Female Practitioner

Shelby Lou Watson , PA-C

Physician Assistant • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Shelby Watson, PA-C is a registered healthcare professional specializing in Physician Assistant in Dayton, OH. Practice services are available at 1 CHILDRENS PLZ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Plz

Dayton, OH 454041815

Telephone 9376413600
Fax 9376415802
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
250 Specialists

Practicing in Dayton, OH (5376 Statewide)

Telehealth Adoption Rate
5.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-05-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OH 50.005952RX

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0340092 (OH)

Secondary Practice Locations

1711 Germantown Pike

Dayton, OH 45417

Phone: 9376413142

6044 Wilmington Pike

Dayton, OH 454597006

Phone: 9376413270

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376413400

792 Northwoods Blvd

Vandalia, OH 453779462

Phone: 9376414236

4475 Far Hills Ave

Kettering, OH 454292405

Phone: 9376413141

8501 Old Troy Pike

Huber Heights, OH 454241054

Phone: 9376414360

662 N Main St

Springboro, OH 450669553

Phone: 9376415066

7787 Cox Ln

West Chester, OH 450696549

Phone: 5136448081

860 Valley St.

Dayton, OH 45404

Phone: 9376413060

3333 W Tech Rd

Miamisburg, OH 453420955

Phone: 9376415725

3301 Dayton Xenia Rd Ste 200

Beavercreek, OH 454322759

Phone: 9376415098

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tanya Paul , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1003369331

Doctor of Medicine (M.D.)

Nicole Scott

Physician Assistant

NPI 1003408238
Saundra Zerbe , FNP

Nurse Practitioner - Family

NPI 1013170778

Family Nurse Practitioner

Dr. Kent Depue , MD

Pediatrics - Pediatric Emergency Medicine

NPI 1023236452

Doctor of Medicine (M.D.)

Dr. Timothy Phamduy , DO

Pediatrics - Pediatric Emergency Medicine

NPI 1033572680

Doctor of Osteopathic Medicine (D.O.)

Emma Bertke , PA

Physician Assistant

NPI 1063226181

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Business Mailing Address October 11, 2023

Registered at PO BOX 933432, CLEVELAND, OH 441930039 (Tel: 9376513000)

📍
Updated Practice Location January 04, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376413600)

📍
Updated Business Mailing Address January 04, 2021

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041815 (Tel: 9376513000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2021

Physician Assistant (License #50.005952RX in OH)

📍
Updated Business Mailing Address October 01, 2020

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376513000)

👤
Provider Name / Credentials Updated October 01, 2020

Recorded as SHELBY WATSON, PA-C

NPI Profile Active March 05, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2019

Registered at 1 CHILDRENS PLZ, DAYTON, OH 454041873 (Tel: 9376413000)

📍
Updated Business Mailing Address March 05, 2019

Registered at 6558 E STATE ROUTE 571, TIPP CITY, OH 453719476 (Tel: 9376814407)

👤
Provider Name / Credentials Updated March 05, 2019

Recorded as SHELBY RENICKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 21, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1114484581
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2019
Last Update: May 29, 2026
Sole Proprietor: No

Mailing Address

Po Box 933432

Cleveland, OH 441930039

Phone: 9376415072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.