Shane Weare, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DO205777 Issued in OR

Practice address

940 E 5TH St
Coquille, OR 97423-1699

Phone

(541) 396-3101

NPI assigned

Apr 20, 2016

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

Enrolled in PA, OR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Coquille Valley Hospital District

  • Critical Access Hospital
  • Coquille, OR
  • NPI 1730223967

  Single Specialty

  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Cresson, PA
  • NPI 1932515905

  Single Specialty

  Medicare reassignment NPD
• Nason Physician Practices LLC

  • Obstetrics & Gynecology Physician
  • Roaring Spring, PA
  • NPI 1306236609

  Single Specialty

  Medicare reassignment NPD
• DLP Conemaugh Physician Practices LLC

  • Internal Medicine Physician
  • Johnstown, PA
  • NPI 1205242609

  Single Specialty

  NPD
• DLP Conemaugh Physician Practices LLC

  • Family Medicine Physician
  • Ligonier, PA
  • NPI 1588070551
  NPD
• Nason Physician Practices LLC

  • Pediatrics Physician
  • Roaring Spring, PA
  • NPI 1326439803
  NPD
• Nason Physician Practices LLC

  • Emergency Medicine Physician
  • Roaring Spring, PA
  • NPI 1346752284
  NPD

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1588018048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 5TH ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 5TH ST",
            "city": "COQUILLE",
            "state": "OR",
            "postal_code": "974231699",
            "telephone_number": "541-396-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEARE",
        "first_name": "SHANE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "DO205777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Physical Therapy LLC
• Diana Dee St. Clair, LMT
• Strengths Based Explorations LLC
• Caterina Tadlock, QMHP
• Pauletta J Tokich, ARNP, FNP
• Roger Cecil Willis, MD
• Christina Lucile Wilson, MD

• Emergency Medicine Physician in Coquille, OR
• Providers in Coquille, OR by specialty
• Emergency Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.