DR. PRESTON WAYNE SHUMWAY DO NPI 1134355233

NPI Information

  • NPI: 1134355233
  • Provider Name: DR. PRESTON WAYNE SHUMWAY, DO
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 800 E DAWSON ST
    TYLER, TX
    ZIP 75701
  • Phone: (903) 531-5000

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NPI Details

DR. Preston Wayne Shumway, DO is an emergency medicine in Tyler, TX with 14 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Preston Wayne Shumway, DO NPI is 1134355233. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2012

The provider's business location address is:

800 E DAWSON ST
TYLER, TX
ZIP 75701-036
Phone: (903) 531-5000

The NPI 1134355233 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)

The enumeration date for this NPI number is 6/3/2009 and was last updated on 10/14/2014.

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
1207P00000XEmergency Medicine5101018171MICHIGANNo
2207P00000XEmergency MedicineP1407TEXASYes
3390200000XStudent in an Organized Health Care Education/Training Program5101018171MICHIGANNo

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 Other Provider Identifier Issuer
175-2616977-001OTHERTEXASTRICARE
275-2616977-002OTHERTEXASTRICARE
3751976930005OTHERTEXASTRICARE
4750818167022OTHERTEXASTRICARE
58X8166OTHERTEXASBCBS
6304874603MEDICAIDTEXAS
7304874602MEDICAIDTEXAS
8TXB157133MEDICARE OSCAR/CERTIFICATIONTEXAS
9P01081147OTHERTEXASRAIL ROAD
108DU721OTHERTEXASBCBS
11750818167015OTHERTEXASTRICARE
12P01081613OTHERTEXASRAIL ROAD
133160000YMAFMEDICARE PINTEXAS
14P01304487OTHERTEXASRAIL ROAD
1575-2616977-028OTHERTEXASTRICARE
16750818167048OTHERTEXASTRICARE
17TXB156883MEDICARE OSCAR/CERTIFICATIONTEXAS
18P08090093MEDICARE PINMICHIGAN
19750818167044OTHERTEXASTRICARE
20751976930022OTHERTEXASTRICARE
21304874601MEDICAIDTEXAS
22TXB157220MEDICARE OSCAR/CERTIFICATIONTEXAS
23750818167048MEDICARE PINTEXAS
248DD753OTHERTEXASBCBS
258DD750OTHERTEXASBCBS
26304874604MEDICAIDTEXAS

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: 11/21/2025

NPI Synchronization or Removal

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