Active NPI
Thomas L Shaver, D.O.
- Neuromusculoskeletal Medicine & OMM Physician
- Kapa'au, HI
National Provider Identifier
1609140375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- DOS - 820
- Practice address
- 543760 Hanaula Apo Rd.
Kapaau, HI 96755-1439 - Phone
- (808) 884-5282
- NPI assigned
- Feb 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | DOS - 820 | HI | Primary |
Addresses
Primary practice location
543760 Hanaula Apo Rd.
Kapaau, HI 96755-1439
Mailing address
PO Box 1442
543760 Hanaula Apo Rd.
Kapaau, HI 96755-1439
Phone (808) 884-5282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS - 820 | HI | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1609140375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1442",
"address_2": "543760 HANAULA APO RD.",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967551439",
"telephone_number": "808-884-5282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543760 HANAULA APO RD.",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967551439",
"telephone_number": "808-884-5282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAVER",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "HI",
"license": "DOS - 820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapa'au, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.