Avery Blake Shrum, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

05838 Issued in KY

Practice address

425 Hindman Byp
Hindman, KY 41822-8666

Phone

(606) 439-1300

Fax

(606) 439-1400

NPI assigned

Mar 30, 2021

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Centers of Eastern Kentucky LLCGroup PAC ID 3971415993, 46 clinicians

Appalachian Regional Healthcare IncGroup PAC ID 0840107835, shared by 70 NPIs, 301 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA

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.

• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Hyden

  • Rural Health Clinic/Center
  • Hyden, KY
  • NPI 1891841961
  Medicare reassignment Care Compare group NPD
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Vicco

  • Rural Health Clinic/Center
  • Scuddy, KY
  • NPI 1184676314
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern KY-Hindman

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1356395198
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Whitesburg, KY
  • NPI 1366227555
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Hazard

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1942275805
  NPD
• Appalachian Regional Healthcare, Inc.

  dba Hazard ARH Regional Medical Center

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  NPD (past)
• Primary Care Centers of Eastern Kentucky, LLC

  dba Primary Care Centers of Eastern Kentucky-Dental

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1598930026
  NPD (past)

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

• Appalachian Regional Healthcare, Inc.

  dba Arh Hazard Family Health Services

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  dba Hazard ARH Regional Medical Center

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1497333520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-435-7642",
            "fax_number": "606-436-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HINDMAN BYP",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418228666",
            "telephone_number": "606-439-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "AVERY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cossie Claude Quillen, RPH
• Marilyn Ritchie, APRN
• Stacy Ritchie
• David W Rollins, D.M.D.
• William Alan Shepherd, PHARMACIST
• Kenneth Morris Slone, MD
• Susan Spencer
• Tessica Strong
• Warren Grady Stumbo, MD
• TCCT LLC (Tate Medical Supply)

• Family Medicine Physician in Hindman, KY
• Providers in Hindman, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.