Shaun Alexander McCrae, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC-04446 Issued in OH

Practice address

745 Lake TRL
Aurora, OH 44202-8478

Phone

(713) 873-1166

NPI assigned

Jun 14, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• TCS Group Global, LLC

  • Community/Behavioral Health Agency
  • Aurora, OH
  • NPI 1457913501
  NPD (past) Authorized official

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1447571443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 LAKE TRL",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028478",
            "telephone_number": "713-873-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 LAKE TRL",
            "city": "AURORA",
            "state": "OH",
            "postal_code": "442028478",
            "telephone_number": "713-873-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Palm Springs Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327017864",
            "country_code": "US",
            "telephone_number": "855-614-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4355 Bear Gully Rd",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327929422",
            "country_code": "US",
            "telephone_number": "855-614-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRAE",
        "first_name": "SHAUN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OH",
            "license": "DC-04446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Martin, CFNP
• Rachel Hodczak Martin, RPH
• Irene Martino, O.D.
• Lauren Mayes, DC
• Nicole Marie McClain, DPT
• Lauren McInturf
• Jaclyn C Meathe, DPT
• Meckler Dental Providers, Inc.
• Meijer Stores Limited Partnership
• Memorable Care LLC

• Sports Physician Chiropractor in Aurora, OH
• Providers in Aurora, OH by specialty
• Sports Physician Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.