Individual
SAMUEL G SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 MEDICAL ARTS BLVD, SUITE 100, ANDERSON, IN 46011-3458
(765) 298-5700
(765) 298-4913
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01075554A
IN
207Q00000X
Family Medicine Physician
11016928A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201097800
—
IN
01
—
P01588256
RR MEDICARE
IN
Enumeration date
09/14/2012
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us