SAMUEL G SHAVER (NPI# 1093065377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093065377 |
| Entity Type | Individual |
| Full Name | SAMUEL G SHAVER |
| Credential | MD |
| Practice Address |
1601 Medical Arts Blvd Suite 100 Anderson IN 46011-3458 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 7652985700 |
| Practice Fax Number | 7652984913 |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01075554A | IN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11016928A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | P01588256 | 01 |
| IN | 201097800 | 05 |
| Street Address |
1601 MEDICAL ARTS BLVD SUITE 100 |
| City | ANDERSON |
| State | IN |
| Zip Code | 46011-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305419 | Richard Kelly Chambers | Internal Medicine | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3459 | 2005-06-11 |
| 1265045967 | Haley Ruth Slusher | Dietitian, Registered | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-08-24 |
| 1285269977 | Joanna Louise Horsman | Nurse Practitioner | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2020-03-03 |
| 1437678372 | Jessica Mckinney | Pharmacist | 1601 Medical Arts Blvd, Anderson, IN 46011-3458 | 2017-09-12 |
| 1285178988 | Andrew Rider | Social Worker | 1601 Medical Arts Blvd, Ste 203, Anderson, IN 46011-3458 | 2016-12-14 |
| 1760924260 | Tyler Madere | Pharmacist | 1601 Medical Arts Blvd, Suite 203, Anderson, IN 46011-3458 | 2016-11-15 |
| 1891172797 | Anderson Oral and Maxillofacial Surgery | Dentist | 1601 Medical Arts Blvd, Suite 3, Anderson, IN 46011-3458 | 2015-04-29 |
| 1154735223 | Connect Hearing, Inc. | Audiologist | 1601 Medical Arts Blvd, Ste 50, Anderson, IN 46011-3458 | 2014-06-17 |
| 1487080644 | Jessica Marshall | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 201, Anderson, IN 46011-3458 | 2013-09-19 |
| 1427480466 | Julia Anne St Clair | Nurse Practitioner | 1601 Medical Arts Blvd, Suite 102, Anderson, IN 46011-3458 | 2013-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662226 | Full Circle Family Solutions, LLC | Counselor | 909 Northwood Drive, Anderson, IN 46011 | 2019-10-31 |
| 1497186563 | Andrea C Rich | Social Worker | 1317 Winding Way, Anderson, IN 46011 | 2013-11-27 |
| 1093080848 | Franklin Keith Beeler | Family Medicine | 930 Summerlin Court, Anderson, IN 46011 | 2012-03-13 |
| 1063609642 | Christopher Place At Keystone Woods Associates, LLC | Assisted Living Facility | 2334 North Madison Ave, Anderson, IN 46011 | 2007-09-27 |
| 1720155187 | Garry L Smith Dds PC | Dentist | 1528 Medical Arts Blvd, Anderson, IN 46011 | 2006-11-29 |
| 1891711586 | Suzanne Obrien Beeson | Psychologist | 1210 Medical Arts. Blvd., Suite 208, Anderson, IN 46011 | 2006-07-14 |
| 1669471199 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 1809 N Madison Ave, Anderson, IN 46011 | 2005-07-18 |
| 1265980742 | Andrew J Koehler | Counselor | 2010 Brentwood Dr, Anderson, IN 46011 | 2016-09-14 |
| 1902258866 | Audrey A. Dickerson | Physician Assistant | 1515 N Madison Ave, Anderson, IN 46011 | 2016-07-05 |
| 1104271790 | Mohammad Sami Bakdash | Internal Medicine | 1515 N Madison Ave, Anderson, IN 46011 | 2016-05-02 |
| Find all providers in zip 46011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364680 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 955 Boscobel Rd, Anderson, SC 29625-6704 | 2019-03-12 |
| 1740760560 | Direct Access Md, LLC | Family Medicine | 803 N Fant St Ste 2a, Anderson, SC 29621-5718 | 2018-08-21 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1740719574 | William Charles Vanness II | Family Medicine | 4014 Creedmoor Pl, Anderson, IN 46011-1605 | 2017-06-06 |
| 1679012900 | Community Health Network | Family Medicine | 307 Cottage Ave, Anderson, IN 46012-3404 | 2017-02-20 |
| 1295183382 | Marissa Gail Copeland | Family Medicine | 2000 E Greenville St Ste 1600, Anderson, SC 29621-1719 | 2016-05-30 |
| 1396127569 | Jack Parker Miller Jr. | Family Medicine | 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 | 2015-06-24 |
| 1457743361 | Community Health Network | Family Medicine | 4500 Dan Patch Cir, Anderson, IN 46013-3161 | 2015-03-02 |
| 1275883738 | Anderson University | Family Medicine | 316 Boulevard, Abney Gymnasium, Box 999, Anderson, SC 29621-4002 | 2012-09-12 |
| 1306191077 | Carolina Primary Care and Diabetes Center LLC | Family Medicine | 3320 N Highway 81, Anderson, SC 29621-3626 | 2012-07-19 |
| Find all providers in ANDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.