Jed Shay, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

8748A Issued in WY

Practice address

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705

Phone

(307) 212-6270

Fax

(307) 212-6271

NPI assigned

Aug 16, 2005

Last updated

Jul 26, 2021By 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 1

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paincarecenter.jedshay@120787.advancedmd-direct.com

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.

• Pain Care Center, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Rock Springs, WY
  • NPI 1023398906
  Medicare reassignment NPD
• Pain Care Center LLC

  • Specialist
  • Lander, WY
  • NPI 1730623984
  Authorized official Same address or phone
• Pain Care Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Evanston, WY
  • NPI 1962937441
  Authorized official Same address or phone
• Mountain Medicine LLC

  • Primary Care Clinic/Center
  • Evanston, WY
  • NPI 1134744600
  NPD
• Pain Care Center, LLC

  dba Pain Care Centers

  • Pain Medicine Physician
  • Sheridan, WY
  • NPI 1548020746
  NPD
• American Hospital Management Corporation

  dba Mad River Community Hospital

  • Rural Health Clinic/Center
  • Arcata, CA
  • NPI 1609979707
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1851383822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5850 E 2nd St Unit 100",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826094343",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "170 Arrowhead Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "WY",
            "postal_code": "829309307",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Main St",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825203101",
            "country_code": "US",
            "telephone_number": "307-212-6270",
            "fax_number": "307-212-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAY",
        "first_name": "JED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WY",
            "license": "8748A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132444600",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Scott
• Jennifer Sebesta, RBT
• James Louis Sedey III, PTA
• Seppie Physical Therapy, LLC
• Cole N Seppie, DPT
• Devan Sheldon, BSN, RN
• Brandon Chad Shelley, DPM
• Sheridan Vamc
• John A Sherman, MD
• Julie Anna Shockey, PPC

• Pain Medicine (Anesthesiology) Physician in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Pain Medicine (Anesthesiology) Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.