Individual provider Active NPI

Shane Thomas Napier, DO

  • Family Medicine Physician
  • Beaver Dam, KY
National Provider Identifier
1457655730
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03486 Issued in KY
Practice address
1219 N Main St
Beaver Dam, KY 42320
Phone
(270) 274-1800
Fax
(270) 274-5600
NPI assigned
Dec 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 58003868 OH
Family Medicine Physician 207Q00000X 03486 KY Primary

Addresses

Primary practice location

1219 N Main St
Beaver Dam, KY 42320

Mailing address

1219 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-1800

Other practice location 1

480 Hopkinsville St
Greenville, KY 42345-1124
Phone (270) 338-5777

Other practice location 2

1219 N Main St Ste 101
Beaver Dam, KY 42320-8955
Phone (270) 274-1800

Other identifiers 2

IdentifierTypeStateIssuer
61-0445841OtherKYHUMANA
7100230740MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20121218000322 KY Practitioner - Family Practice 5799937835 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norsworthy Medical Associates PSCGroup PAC ID 1355318080, 4 clinicians

Practice addresses (Care Compare)

1219 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-1800

Hospital & facility affiliations

  • Ohio County Hospital Hospital, Hartford, KY, CCN 181323
  • Beaver Dam Nursing & Rehab Center, Inc Nursing home, Beaver Dam, KY, CCN 185334
  • Signature Healthcare of Hartford Rehab & Wellness Nursing home, Hartford, KY, CCN 185275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
03486KYMDFamily Medicine Physician
58003868OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jan 11, 2016 Accepting new patients
Gim of Kentucky PLLC CurrentSince May 7, 2018 Accepting new patients
Norsworthy Medical Associates PSC Family Medicine CurrentSince May 7, 2018 Accepting new patients
Community Health Centers of Western Kentucky, Inc. CurrentSince Jan 11, 2016 Accepting new patients
LP Hartford, LLC Past Accepting new patients
Fyi Healthcare Clinic, PLLC Past Accepting new patients
Beaver Dam Nursing & Rehab Center, Inc Past Accepting new patients

Locations

708 Bartley Ave
Bardstown, KY 40004
Phone (502) 348-9260

1219 N Main St
Beaver Dam, KY 42320
Phone (270) 274-1800

1219 N Main St
Ste 101
Beaver Dam, KY 42320
Phone (270) 274-0638

371 W Main St
Brodhead, KY 40409
Phone (606) 758-8711

1101 Woodland Dr
Elizabethtown, KY 42701
Phone (270) 765-6106

480 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-5777

440 Hopkinsville St
Greenville, KY 42345
Phone (270) 338-8000

2500 N Elm St
Henderson, KY 42420
Phone (270) 826-9794

599 Rogersville Rd
Radcliff, KY 40160
Phone (270) 351-2999

420 E Grundy Ave
Springfield, KY 40069
Phone (859) 336-7771

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1457655730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "423208955",
            "telephone_number": "270-274-1800",
            "fax_number": "270-274-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 N MAIN ST",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "42320",
            "telephone_number": "270-274-1800",
            "fax_number": "270-274-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Hopkinsville St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "KY",
            "postal_code": "423451124",
            "country_code": "US",
            "telephone_number": "270-338-5777",
            "fax_number": "270-338-5765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 N Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208955",
            "country_code": "US",
            "telephone_number": "270-274-1800",
            "fax_number": "270-274-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAPIER",
        "first_name": "SHANE",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-31",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "58003868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61-0445841",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100230740",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, KY

Sources for this page

Verify at the official NPI Registry.