Individual provider Active NPI

Shawn P McKay, MD

  • Otolaryngology Physician
  • Florence, SC
National Provider Identifier
1104837707
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28619 Issued in SC
Practice address
1521 McLure CT
Florence, SC 29505-6174
Phone
(843) 665-2900
Fax
(843) 629-8122
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28619 SC Primary

Addresses

Primary practice location

1521 McLure CT
Florence, SC 29505-6174

Mailing address

1521 McLure CT
Florence, SC 29505-6174
Phone (843) 665-2900

Other identifiers 1

IdentifierTypeStateIssuer
GP3614MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20060503000005 SC Practitioner - Otolaryngology 0345250528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Ears Nose and Throat PCGroup PAC ID 0749290021, 4 clinicians

Practice addresses (Care Compare)

1521 McLure CT
Florence, SC 29505-6174
Phone (843) 665-2900

Hospital & facility affiliations

  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091
  • McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28619SCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Ears, Nose & Throat, PC Otolaryngology CurrentSince Jul 1, 2006 Accepting new patients

Locations

1521 McLure Ct
Florence, SC 29505
Phone (843) 665-1000

Interoperability endpoints

  • Direct secure messaging: smckay51014@directmcleodehealth.org
  • Direct secure messaging: smckay@florenceent.emadirect.md

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1104837707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 MCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056174",
            "telephone_number": "843-665-2900",
            "fax_number": "843-629-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 MCLURE CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056174",
            "telephone_number": "843-665-2900",
            "fax_number": "843-629-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "SHAWN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "SC",
            "license": "28619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3614",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.