Individual provider Active NPI

Shaun Michael Jay, D.C., M.S.

  • Chiropractor
  • Lancaster, PA
National Provider Identifier
1447587456
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010167 Issued in PA
Practice address
8 Marticville Rd
Lancaster, PA 17603-9508
Phone
(717) 283-1155
NPI assigned
Nov 11, 2009
Last updated
Sep 10, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010167 PA Primary
Chiropractor 111N00000X AJ009974 PA

Addresses

Primary practice location

8 Marticville Rd
Lancaster, PA 17603-9508

Mailing address

8 Marticville Rd
Lancaster, PA 17603-9508
Phone (717) 283-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100524000806 PA Practitioner - ChiropracticPractitioner - Sports Medicine 6507995941 Reassigns benefits to 1 organization
Practice locations: Lancaster, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Sports Medicine
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8 Marticville Rd
Lancaster, PA 17603-9508
Phone (717) 283-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AJ009974PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Union Community Care Current Accepting new patients
Comprehensive Health & Chiropractic Chiropractor CurrentSince Aug 15, 2018 Accepting new patients
Union Community Care CurrentSince Feb 12, 2024 Accepting new patients
Union Community Care CurrentSince Feb 12, 2024 Accepting new patients
Function 1St, LLC Chiropractor Past Accepting new patients

Locations

304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372

228 Manor Ave
Millersville, PA 17551
Phone (717) 872-4636

435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400

584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711

Interoperability endpoints

  • Direct secure messaging: shaun.jay.1@14261.direct.athenahealth.com

Organizations & group practices 5

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": "1257897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1447587456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MARTICVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039508",
            "telephone_number": "717-283-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARTICVILLE RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176039508",
            "telephone_number": "717-283-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "SHAUN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-11",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010167",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009974",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.