GORDON JULIAN SHUMATE DPM NPI 1487673471

NPI Information

NPI: 1487673471
Provider Name: GORDON JULIAN SHUMATE, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
405 SOUTH ST STE F
REDDING, CA
ZIP 96001
Phone: (530) 246-4800
Get Directions

Gordon Julian Shumate, DPM is a primary podiatric medicine podiatrist in Redding, CA. Gordon Julian Shumate, DPM NPI is 1487673471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

405 SOUTH ST STE F
REDDING, CA
ZIP 96001-101
Phone: (530) 246-4800
Fax: (530) 246-4802

The NPI 1487673471 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).

The enumeration date for this NPI number is 7/19/2006 and was last updated on 6/27/2008.

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	Taxonomy Specialization	License Number	License State	Primary
1	213ES0000X	Podiatrist	Sports Medicine	E3936	CALIFORNIA	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	E3936	CALIFORNIA	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
1	000E39360	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA
2	000E39360	MEDICAID	CALIFORNIA
3	U50911	MEDICARE UPIN	CALIFORNIA

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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