JOHN MICHAEL SHIMKO (NPI# 1194718619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194718619 |
Entity Type | Individual |
Full Name | JOHN MICHAEL SHIMKO |
Credential | D.P.M. |
Practice Address |
10130 Perimeter Pkwy Ste 200 Charlotte NC 28216-0197 |
Practice Telephone | 8888497379 |
Practice Fax Number | 8558577333 |
Mailing Telephone | 8888497379 |
Mailing Fax Number | 8558577333 |
Enumeration Date | 2005-08-30 |
Last Update Date | 2017-10-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 270 | NC | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BLUE CROSS BLUE SHIELD | 0816H | 01 |
NC | 890816H | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
19453 W Catawba Ave Ste A, Cornelius, NC 280314022 | 7048923399 | 7048925113 |
Street Address |
10130 PERIMETER PKWY STE 200 |
City | CHARLOTTE |
State | NC |
Zip Code | 28216-0197 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
1093205049 | Khamphou Manivanh Mosley | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2018-05-15 |
1316453194 | Kenya Lakisha Cruz | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2017-12-15 |
1164947305 | Toshia Chipman | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-08-09 |
1447774823 | Lakiesha Johnson Squirewell | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-07-27 |
1205367588 | Eva Krug | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2017-03-27 |
1639626047 | Tiaira Robinson | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2016-09-01 |
1396115424 | Michelle Dunlap Deaton | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-10-01 |
1629447503 | Cheria Morgan | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2015-09-21 |
1750761607 | Terri L Clark | Social Worker | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 | 2015-06-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
Find all providers in zip 28216 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962714279 | Saadia Khan Parker | Podiatrist | 447 E 12th St, Apt 201, Charlotte, NC 28206-0502 | 2010-07-02 |
1770795650 | Kathy A Henricksen | Podiatrist | 512 E Kingston Ave, Charlotte, NC 28203-5118 | 2007-05-04 |
1285759605 | First Care Medical Clinic | Podiatrist | 9040 Nations Ford Rd, Charlotte, NC 28273-5716 | 2007-03-21 |
1093877326 | Thomas P Whitfield | Podiatrist | 4444 Park Rd, Charlotte, NC 28209-3130 | 2006-12-14 |
1548351687 | Robert M Liesman | Podiatrist | 2115 E 7th St, Suite 102, Charlotte, NC 28204-3307 | 2006-09-27 |
1558332015 | Gregory H Colbert | Podiatrist | 436 W Lawrence Ave, Charlotte, MI 48813-1442 | 2006-01-31 |
1093799835 | Paul I Reiss | Podiatrist | 4915 Albemarle Rd, Charlotte, NC 28205-6617 | 2005-12-05 |
1881678118 | Mark Miceli | Podiatrist | 8301 University Exec Park Dr, Ste 112, Charlotte, NC 28262-3355 | 2005-11-30 |
1164418406 | Kristine Marie Strauss | Podiatrist | 2550 W Arrowood Rd, Suite 102, Charlotte, NC 28273-6133 | 2005-09-22 |
1376043349 | Greater Charlotte Foot and Ankle | Podiatrist | 13425 Hoover Creek Blvd, Suite 201, Charlotte, NC 28273 | 2018-02-16 |
Find all providers in CHARLOTTE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.