Nicholas Howard Shea, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME25893 Issued in FL

Practice address

6400 Davis Blvd Ste 104
Naples, FL 34104-5321

Phone

(239) 403-2600

Fax

(239) 403-2602

NPI assigned

Aug 5, 2006

Last updated

Feb 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Emergency Physicians of Naples PLLC

  • Emergency Medicine Physician
  • Naples, FL
  • NPI 1861410656
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1447269675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111600",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080127",
            "telephone_number": "239-434-6410",
            "fax_number": "239-434-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 DAVIS BLVD STE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341045321",
            "telephone_number": "239-403-2600",
            "fax_number": "239-403-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "NICHOLAS",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME25893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257877800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Shaver, LCSW #8133
• Caroline Hess Shaw, PA-C
• Shawky a Hassan MD PHD PA (Allergy & Asthma Center PA)
• Shawn Slattery, O.D., P.a. (dba Vision ONE)
• SHC Naples, LLC (Safe Homecare)
• Ian David Shearer, BUSINESS OWNER
• Jessica Sheehan, PT
• Ryan W Sheehan
• Sheldon Weiner, MD, PA
• Shelly Allred Medical Supply LLC

• Emergency Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.