Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NELSON EUGENE SHREVE, MD
ActiveNELSON EUGENE SHREVE, MD is a Sports Medicine healthcare provider located in O FALLON, Illinois. NPI 1720541527 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · O FALLON, IL
Registration Details
- NPI Number
- 1720541527
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2019 (7.3181533011261 yrs)
- Last Updated
- Jun 26, 2024
- Licenses
-
2021030583 (MO)036165768 (IL)036165768 (IL)
Practice Information
- Address
-
3 SAINT ELIZABETH BLVD STE 4000O FALLON, IL, 622691284Browse IL providers · Browse ZIP 62269
- Phone
- 6182335480
- Fax
- 6182224792
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in O FALLON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD DERBY | MD | 1295720845 |
| DR. AHMED A. RADWAN | M.D. | 1376575126 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.