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WHITNEY E SHOEMAKER D.O. F.A.C.O.O.G. NPI 1750328514


NPI Information

NPI: 1750328514
Provider Name: WHITNEY E SHOEMAKER, D.O., F.A.C.O.O.G.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

CLIA Number: 39D1051841

Address:
598 STERTHAUS DRIVE
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 256-2565
Get Directions

Whitney E Shoemaker, D.O., F.A.C.O.O.G. is a gynecology obstetrics gynecology in Ormond Beach, FL with 25 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Whitney E Shoemaker, D.O., F.A.C.O.O.G. NPI is 1750328514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1999

The provider's business location address is:

598 STERTHAUS DRIVE
ORMOND BEACH, FL
ZIP 32174-128
Phone: (386) 256-2565
Fax: (386) 256-2567

The NPI 1750328514 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 CLIA number assigned to this NPI record is 39D1051841 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/1/2006 and was last updated on 5/19/2016.


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
1207VG0400XObstetrics & GynecologyGynecologyOS010802LPENNSYLVANIANo
2207VG0400XObstetrics & GynecologyGynecologyOS9499FLORIDAYes

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
1I26404MEDICARE UPINPENNSYLVANIA
2088934MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAIND. NUMBER
3HT984ZMEDICARE PINFLORIDA
41013235910002MEDICAIDPENNSYLVANIA
5HT984ZMEDICARE UPINFLORIDA

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: 5/5/2024

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.