Shawn T. Egan, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH4130 Issued in FL

Legal business name

SHAWN T. EGAN, PA

Practice address

1310 W Eau Gallie Blvd Ste a
Melbourne, FL 32935-5300

Phone

(321) 254-3630

Fax

(321) 242-8176

NPI assigned

Jan 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Shawn T. Egan, DC, PA

Title

Chiropractor

Phone

(321) 254-3630

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1154627867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W EAU GALLIE BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355300",
            "telephone_number": "321-254-3630",
            "fax_number": "321-242-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W EAU GALLIE BLVD STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355300",
            "telephone_number": "321-254-3630",
            "fax_number": "321-242-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN T. EGAN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "EGAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "321-254-3630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC, PA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380033400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "70718",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Lynn Shaw
• Isabelle Lynn Shaw
• Julie Shaw, PHARM D
• Shi Min Shaw, NCCAOM: DOM
• Tarek A Shawkat, MD
• Natalia Alexeevna Shcherbinina, MD
• Erin O Shea, LCSW
• Madylin P Shealy
• Khalid H Sheikh, MD
• Sheldon and Furtado PLLC

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.