JOHN MICHAEL SHIMKO


Address: 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197
Phone: 8888497379

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 270 NC Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC BLUE CROSS BLUE SHIELD 0816H 01
NC 890816H 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
19453 W Catawba Ave Ste A, Cornelius, NC 280314022 7048923399 7048925113

Office Location

Street Address 10130 PERIMETER PKWY STE 200
City CHARLOTTE
State NC
Zip Code 28216-0197

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CHARLOTTE
Zip Code 28216

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Dataset Information

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.

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