MS. JULIA VLADA SHUMKOV (NPI# 1528579950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528579950 |
| Entity Type | Individual |
| Full Name | MS. JULIA VLADA SHUMKOV |
| Credential | PA |
| Practice Address |
3100 Princeton Pike Ste D Lawrenceville NJ 08648-2300 |
| Mailing Address |
111 E Dunlap Ave Ste I-279 Phoenix AZ 85020-2807 |
| Practice Telephone | 8444646387 |
| Mailing Telephone | 4803316721 |
| Mailing Fax Number | 6022967738 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00450400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3100 PRINCETON PIKE STE D |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648-2300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1851631337 | Dave George | Physician Assistant | 1960 Riverside Parkway Ste#106, Lawrenceville, GA 30043 | 2013-02-21 |
| 1528375946 | Gillian Robinson | Physician Assistant | 900 Legacy Park Dr, Apt 2333, Lawrenceville, GA 30043-8715 | 2010-09-07 |
| 1376705996 | Jacqueline Anne Ritter | Physician Assistant | 123 Franklin Corner Rd Ste 216, Lawrenceville, NJ 08648 | 2008-06-25 |
| 1457439747 | Michelle R Shoultz | Physician Assistant | 545 Old Norcross Rd Ste 300, Lawrenceville, GA 30045-3390 | 2006-11-02 |
| 1326132408 | Michael Johnson | Physician Assistant | 289 Grayson Hwy Ste 2a, Lawrenceville, GA 30046-5726 | 2006-10-03 |
| 1689626657 | Nocollege A Pupuma | Physician Assistant | 1431 Riverside Pkwy, Suite B, Lawrenceville, GA 30043-5946 | 2006-05-17 |
| 1073576716 | Jennifer T. Herbstritt | Physician Assistant | 2500 Brunswick Pike, Suite 101a, Professional Healthcare Services of Lawrenceville, Lawrenceville, NJ 08648-4134 | 2006-04-11 |
| 1285260745 | Elizabeth Joy Elder Sandy | Physician Assistant | 595 Hurricane Shoals Rd Nw Ste 100, Lawrenceville, GA 30046-8762 | 2020-03-17 |
| 1972085223 | Amber Nicole Matthews | Physician Assistant | 2775 Cruse Rd, Lawrenceville, GA 30044-7140 | 2018-09-04 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
Please comment or provide details below to improve the information on MS. JULIA VLADA SHUMKOV.
| 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.