David M. Shuey II, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-430 Issued in ID

Practice address

1102 E Locust St
Emmett, ID 83617-2713

Phone

(208) 365-6004

Fax

(208) 365-3589

NPI assigned

Oct 6, 2006

Last updated

Jul 9, 2007By 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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: davids@yourcarecommunity.org
• Direct secure messaging: dshuey@valorhealth.cernerdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/

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.

• Walter Knox Memorial Hospital

  dba Valor Health

  • Critical Access Hospital
  • Emmett, ID
  • NPI 1063419018
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730276445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172713",
            "telephone_number": "208-365-6004",
            "fax_number": "208-365-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172713",
            "telephone_number": "208-365-6004",
            "fax_number": "208-365-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEY",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "PAD67",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8074378",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010158621",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendon Delbert Seamons, OD
• Robin D Sebastian, M.D., FAAFP
• Lee Self, MD
• Briana Amber Shackley, RDH
• Daniel D Shaffer
• Sloan Psychiatric Care PLLC
• Mitchell John Smarda
• Bradley Dean Smelcer, OWNER
• Barrie Von Smith, M.D.
• Cynthia K Smith, L.M.T.

• Medical Physician Assistant in Emmett, ID
• Providers in Emmett, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.