RICHARD M SHOUP (NPI# 1518930957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518930957 |
| Entity Type | Individual |
| Full Name | RICHARD M SHOUP |
| Credential | MD |
| Practice Address |
112 Spencer St Manchester CT 06040-4601 |
| Practice Telephone | 8604325600 |
| Practice Fax Number | 8604325622 |
| Mailing Telephone | 8604325600 |
| Mailing Fax Number | 8604325622 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 33290 | CT | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
033290 | CT | Allopathic & Osteopathic Physicians |
| Y | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
033290 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001332907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467604918 | Richard Werth Shoup | Marriage & Family Therapist | 10 E End Ave, 16a, New York, NY 10075-1106 | 2008-10-15 |
| Street Address |
112 SPENCER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-4601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578002887 | Debra Cohn | Physician Assistant | 112 Spencer St, Manchester, CT 06040-4601 | 2017-02-20 |
| 1548634942 | Christina Krzywicki | Student in an Organized Health Care Education/Training Program | 112 Spencer St, 3rd Floor, Manchester, CT 06040-4601 | 2015-11-23 |
| 1417220120 | Michaud Chiropractic, LLC | Chiropractor | 112 Spencer St, Suite 1b, Manchester, CT 06040-4601 | 2012-02-13 |
| 1962648097 | Kevin James Michaud | Chiropractor | 112 Spencer St, Suite 1b, Manchester, CT 06040-4601 | 2008-12-19 |
| 1790813590 | Sleep Medicine Associates, LLC | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2007-03-01 |
| 1902934375 | Navasuma Havaligi | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 207RS0012X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sleep Medicine |
| An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790813590 | Sleep Medicine Associates, LLC | Internal Medicine | 112 Spencer St, Manchester, CT 06040-4601 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073014627 | Sleep Point Associates | Internal Medicine | 11 Business Park Dr Ste 13, Branford, CT 06405-2958 | 2018-02-27 |
| 1427372994 | Ira Pollack Md PC | Internal Medicine | 1699 King Street, Suite 208, Enfield, CT 06082 | 2010-03-26 |
| 1891986006 | Hamden Sleep Disorders Center,llc | Internal Medicine | 2543 Dixwell Ave, Hamden, CT 06514-1809 | 2007-08-05 |
| 1558563643 | Molloy, Dafcik & Kulakov L.l.c | Internal Medicine | 134 Round Hill Rd, Fairfield, CT 06824-5166 | 2007-06-01 |
| 1013052521 | Karishma Bellara | Internal Medicine | 190 W Broad St, Stamford, CT 06902-3633 | 2007-02-21 |
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on RICHARD M SHOUP.
| 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.