Active NPI
Shane Harbaugh I
- Driver
- Clay City, IN
National Provider Identifier
1801212154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 8906379165
- Practice address
- 104 E 8TH St
Clay City, IN 47841-1302 - Phone
- (812) 939-2900
- NPI assigned
- Mar 11, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 8906379165 | IN | Primary |
Addresses
Primary practice location
104 E 8TH St
Clay City, IN 47841-1302
Mailing address
104 E 8TH St
Clay City, IN 47841-1302
Phone (812) 939-2900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8906379165 | IN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indiana Transportation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Private Vehicle
- Clay City, IN
- NPI 1942621131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1801212154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E 8TH ST",
"city": "CLAY CITY",
"state": "IN",
"postal_code": "478411302",
"telephone_number": "812-939-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E 8TH ST",
"city": "CLAY CITY",
"state": "IN",
"postal_code": "478411302",
"telephone_number": "812-939-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARBAUGH",
"first_name": "SHANE",
"name_prefix": "Mr.",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-11",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IN",
"license": "8906379165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clay City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.