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Active NPI 1245033471 Individual Practitioner Female Practitioner

Dr. Shane Brenna Devine , DO

Student in an Organized Health Care Education/Training Program • Wpafb, OH

Professional Overview & Biography Verified Profile Summary

Dr. Shane Devine, DO is a registered healthcare professional specializing in Student in an Organized Health Care Education/Training Program in Wpafb, OH. Practice services are available at 88TH MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

88th Medical Group
4881 Sugar Maple Dr.

Wpafb, OH 45433

Telephone 9372579926
Associated Practice Facility / Clinic
🏢 Dfas-Jfll/in Facility NPI 1164892949

Specialty Benchmarks & Practice Insights

Comparative analytics for Student in an Organized Health Care Education/Training Program in Wpafb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.9 Yrs
Regional Practice Density
26 Specialists

Practicing in Wpafb, OH (12548 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-02-23
Student in an Organized Health Care Education/Training Program Primary Specialty

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Candace Adedokun , MD

Student in an Organized Health Care Education/Training Program

NPI 1003639121

Doctor of Medicine (M.D.)

Dr. Emma Neahusan , DO

Internal Medicine

NPI 1013658475

Doctor of Osteopathic Medicine (D.O.)

Dr. Alexander Cahoon , DO

Student in an Organized Health Care Education/Training Program

NPI 1023868080

Doctor of Osteopathic Medicine (D.O.)

Garet Melton

Student in an Organized Health Care Education/Training Program

NPI 1033961818
Dr. Myles Collins , DO

Student in an Organized Health Care Education/Training Program

NPI 1043159767

Doctor of Osteopathic Medicine (D.O.)

Brittni Plummer

Student in an Organized Health Care Education/Training Program

NPI 1063261568

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Business Mailing Address February 02, 2026

Registered at 4881 SUGAR MAPLE DR, WPAFB, OH 454335529 (Tel: 9372579926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2026

Military Health Care Provider

📍
Updated Practice Location August 05, 2025

Registered at 88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433 (Tel: 9372570837)

📍
Updated Business Mailing Address August 05, 2025

Registered at 88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45433 (Tel: 9372579926)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2025

Military Health Care Provider (License #58.03828 in OH)

NPI Profile Active March 31, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2025

Registered at 30 E. APPLE ST.,, 6TH FLOOR MAGNOLIA PLACE, DAYTON, OH 45409 (Tel: 9372579926)

📍
Updated Business Mailing Address March 31, 2025

Registered at 30 E. APPLE ST.,, 6TH FLOOR MAGNOLIA PLACE, DAYTON, OH 45409 (Tel: 9372579926)

👤
Provider Name / Credentials Updated March 31, 2025

Recorded as SHANE DEVINE, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 31, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245033471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2025
Last Update: February 23, 2026
Sole Proprietor: No

Mailing Address

4881 Sugar Maple Dr

Wpafb, OH 454335529

Phone: 9372579926

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.