Basic Information
Provider Information | |||||||||
NPI: | 1013115302 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | RICE | ||||||||
FirstName: | SHAWN | ||||||||
MiddleName: | CHRISTIAN | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | D.O. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 175 HOSPITAL DR | ||||||||
Address2: |   | ||||||||
City: | WINCHESTER | ||||||||
State: | KY | ||||||||
PostalCode: | 403919591 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8597453500 | ||||||||
FaxNumber: | 8597376644 | ||||||||
Practice Location | |||||||||
Address1: | 60 MERCY CT | ||||||||
Address2: |   | ||||||||
City: | IRVINE | ||||||||
State: | KY | ||||||||
PostalCode: | 403361331 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6067232115 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/07/2007 | ||||||||
LastUpdateDate: | 07/25/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 07/25/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 03525 | KY | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 208M00000X | 03525 | KY | N |   | Allopathic & Osteopathic Physicians | Hospitalist |   | 207P00000X | 03525 | KY | Y |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   |
No ID Information.