Individual provider Active NPI

Douglas Lee Shrewsbury, FNP

  • Nurse Practitioner
  • Belpre, OH
National Provider Identifier
1881033280
Registry record updated Mar 25, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Nov 19, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA15504NP Issued in OH
Practice address
805 Farson St
Suite 115
Belpre, OH 45714-1009
Phone
(740) 401-1930
Fax
(740) 401-1937
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78818 WV
Nurse Practitioner 363L00000X COA15504NP OH Primary

Addresses

Primary practice location

805 Farson St
Suite 115
Belpre, OH 45714-1009

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other identifiers 1

IdentifierTypeStateIssuer
0096026MedicaidOH

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA15504NPOHMDNurse Practitioner
78818WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Brain Neurology Corp Current Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12459/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1881033280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 FARSON ST",
            "address_2": "SUITE 115",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141009",
            "telephone_number": "740-401-1930",
            "fax_number": "740-401-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREWSBURY",
        "first_name": "DOUGLAS",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "78818",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA15504NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belpre, OH

Sources for this page

Verify at the official NPI Registry.