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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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DR. Preston Wayne Shumway, DO is an emergency medicine in Tyler, TX. 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.

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 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.