Well Spring Health Center

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1607 Issued in ME

Legal business name

WELL SPRING HEALTH CENTER

Practice address

830 Main St
Suite 20
Presque Isle, ME 04769-2276

Phone

(207) 764-6880

Fax

(207) 764-0427

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Eva Bowers Shay, DONPI 1760575203

Title

Owner

Phone

(207) 764-6880

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eva B Shay, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Harrogate, TN
  • NPI 1760575203
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1699705327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MAIN ST",
            "address_2": "SUITE 20",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692276",
            "telephone_number": "207-764-6880",
            "fax_number": "207-764-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MAIN ST",
            "address_2": "SUITE 20",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047692276",
            "telephone_number": "207-764-6880",
            "fax_number": "207-764-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL SPRING HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "SHAY",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "BOWERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-764-6880",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "022895",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410380000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norma K Watson, LCSW
• Laurence A Watterson, M.D.
• Laurie Lynn Weatherhead
• Barry Wecker, MD
• David A Weed, DO
• B A. Wells-Alexander, LCSW
• Louis Wesley, M.D.
• Joel T Whitaker, PA-C
• White Smiles Family Dentistry
• Justin Andrew White, MD

• Neuromusculoskeletal Medicine & OMM Physician in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.