# GARY A. SHEARER MD LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659321313
- **Authorized official:** DR. GARY A SHEARER M.D. (PRESIDENT)
- **Authorized official phone:** (859) 746-2880

## Contact information

- **Practice address:** 7210 TURFWAY RD, FLORENCE, KY 41042-5117
- **Practice address phone:** (859) 746-2880
- **Practice address fax:** (859) 746-2881
- **Mailing address:** 7210 TURFWAY RD, FLORENCE, KY 41042-5117
- **Mailing address phone:** (859) 746-2880
- **Mailing address fax:** (859) 746-2880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | KY | — |
| 133V00000X | Registered Dietitian | — | KY | — |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 2084P0015X | Psychosomatic Medicine Physician | 0629801 | KY | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0629801 | KY | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363A00000X | Physician Assistant | — | KY | — |
| 363LF0000X | Family Nurse Practitioner | — | KY | — |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 04/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100011290 | — | KY |
| 01 | — | DE9299 | RAILROAD MEDICARE | KY |