Shelby One Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SHELBY ONE CARE

Practice address

30 Main St
Shelbyville, KY 40065-1020

Phone

(502) 229-1744

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Andrew Stivers

Title

President

Phone

(502) 229-1744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1104265115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAIN ST",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400651020",
            "telephone_number": "502-229-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBY ONE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "STIVERS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-229-1744"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Counseling Associates, PSC
• Shelby County Chiropractic
• Shelby County Emergency Medical Services
• Shelby County Schools
• Shelby Family Medicine PSC
• Shelby Pediatrics, PSC
• Shelbyville Chiropractic Center, P.S.C.
• Shelbyville Ky Opco LLC
• Shelbyville Neurology, PLLC
• Shelbyville Physical Therapy & Spine Care Center, P.S.C.

• All providers in Shelbyville, KY
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.