DR. DAVID GRANT SHY D.O. NPI 1326146978

NPI Information

NPI: 1326146978
Provider Name: DR. DAVID GRANT SHY, D.O.
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1430 S CASHUA DR
FLORENCE, SC
ZIP 29501
Phone: (843) 665-9349
Get Directions

DR. David Grant Shy, D.O. is a general practice in Florence, SC with 36 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. David Grant Shy, D.O. NPI is 1326146978. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:1988

The provider's business location address is:

1430 S CASHUA DR
FLORENCE, SC
ZIP 29501-323
Phone: (843) 665-9349

The NPI 1326146978 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 5/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207L00000X	Anesthesiology	1209	WEST VIRGINIA	No
2	207Q00000X	Family Medicine	81722	SOUTH CAROLINA	No
3	208D00000X	General Practice	81722	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00133304	OTHER		RAILROAD MEDICARE
2	0042380000	MEDICAID	WEST VIRGINIA
3	000747547	OTHER	WEST VIRGINIA	MTN STATE BCBS
4	0915584	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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