Shaun Nazar, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS13600 Issued in FL

Practice address

500 W Sagamore Ave
Clewiston, FL 33440-3514

Phone

(863) 983-3434

NPI assigned

Jun 26, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Arizona College of Osteopathic Medicine Mid Western University, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
• Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hendry County Hospital Authority

  dba Hendry Regional Physicians Group

  • Specialist
  • Clewiston, FL
  • NPI 1356360424
  Medicare reassignment Care Compare group NPD
• Hendry County Hospital Authority

  dba Hendry Regional Cardiology & Vein Center

  • Specialist
  • Clewiston, FL
  • NPI 1336165935
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Clewiston, FL
  • NPI 1336937408
  NPD
• Hendry County Hospital Authority

  dba Hendry Regional Convenient Care Center

  • Rural Health Clinic/Center
  • Labelle, FL
  • NPI 1588859623
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendry County Hospital Authority

  dba Hendry Regional Medical Center

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  Care Compare affiliation
• Providia Home Care LLC.

  dba Preferred Care Home Health Services

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1245409010
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1104208099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "863-983-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "863-983-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAR",
        "first_name": "SHAUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-26",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS13600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ryan Turner Nelson, D.C.
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• Nqo Starservices Corp
• Udayashree Nune, MD

• Family Medicine Physician in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.