Individual provider Active NPI

Alan Dee Shultz, MD

  • Internal Medicine Physician
  • Mt Sterling, KY
National Provider Identifier
1326296948
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30784 Issued in KY
Practice address
105 Bruce Professional PLZ Ste D
Mt Sterling, KY 40353-8504
Phone
(859) 498-0082
Fax
(859) 215-0329
NPI assigned
Sep 8, 2008
Last updated
Jul 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30784 KY Primary

Addresses

Primary practice location

105 Bruce Professional PLZ Ste D
Mt Sterling, KY 40353-8504

Mailing address

105 Bruce Professional PLZ Ste D
Mt Sterling, KY 40353-8504
Phone (859) 498-0082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30784KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Recovery Center Current Accepting new patients
New Day Recovery Center Current Accepting new patients
Marvin E Bishop Past Accepting new patients
Center for Skin & Thyroid PLLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1326296948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BRUCE PROFESSIONAL PLZ STE D",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403538504",
            "telephone_number": "859-498-0082",
            "fax_number": "859-215-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRUCE PROFESSIONAL PLZ STE D",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403538504",
            "telephone_number": "859-498-0082",
            "fax_number": "859-215-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "ALAN",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "30784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.