Eva B Shay, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

1607 Issued in ME

Practice address

165 Westmoreland St
Harrogate, TN 37752-8202

Phone

(423) 869-7193

Fax

(423) 869-7195

NPI assigned

Oct 2, 2006

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Well Spring Health Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Presque Isle, ME
  • NPI 1699705327
  NPD (past) Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1760575203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WESTMORELAND ST",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528202",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WESTMORELAND ST",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528202",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAY",
        "first_name": "EVA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410380000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Golden Scofield
• Michael Prescott Seaman, D.O,
• Muhammad Arsalan Shabbir, CRNA
• Alyssa Grace Shanklin
• Christopher James Shay IV, PA-C
• Carol Ann Shelton
• Michael Eugene Shelton
• Joshua Wayne Shepherd, PA-C
• Kylie Anne Sicken, PA-C
• Bill Allen Surber, PHARMACIST

• Neuromusculoskeletal Medicine & OMM Physician in Harrogate, TN
• Providers in Harrogate, TN by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.