DR. KENDALL PRATT SHUMWAY (NPI# 1952300667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952300667 |
| Entity Type | Individual |
| Full Name | DR. KENDALL PRATT SHUMWAY |
| Credential | D.P. M. |
| Practice Address |
11555 1/2 Potrero Rd Banning CA 92220-6946 |
| Practice Telephone | 9518494761 |
| Mailing Telephone | 9518494761 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 0483 | AZ | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | E4447 | CA | Podiatric Medicine & Surgery Service Providers |
| Street Address |
11555 1/2 POTRERO RD |
| City | BANNING |
| State | CA |
| Zip Code | 92220-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294231 | Cara Ann Semino | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2020-08-08 |
| 1205308962 | Elena Virginia Weaver | Driver | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2018-12-19 |
| 1487142360 | Veronica Ramos-arambula | Counselor | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2018-04-26 |
| 1255688388 | Chad E Stockert | Optometrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2012-08-08 |
| 1629361027 | Timothy Li | Family Medicine | 11555 1/2 Potrero Rd, Riverside-san Bernardino County Indian Health, Inc., Banning, CA 92220-6946 | 2011-05-18 |
| 1972800613 | Ronald D Northcutt Sr. | Counselor | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2011-02-15 |
| 1295051852 | Oluwatoni Janet Arene | Family Medicine | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2010-04-07 |
| 1386873297 | Sandra H Conley | Registered Nurse | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2009-07-13 |
| 1720215825 | Afua I Khumalo | Dietitian, Registered | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2009-06-16 |
| 1912152133 | Jean Kathryn Solomon | Family Medicine | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2008-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962056523 | Golden View Guest Home, Inc. | Assisted Living Facility | 5466 West Wilson, Banning, CA 92220 | 2019-07-31 |
| 1780246157 | Fjs Hearing Professionals | Hearing Instrument Specialist | 3559 W Ramsey Ave Suit C-2, Banning, CA 92220 | 2019-07-05 |
| 1790237832 | Jennifer De Geus | Counselor | 1627 Hargrave St., Banning, CA 92220 | 2016-10-25 |
| 1427447507 | Dalonna Blackwell | Counselor | 2781 W. Ramsey St., Banning, CA 92220 | 2015-01-13 |
| 1639575962 | Eunjung J. Jung Choi | Dentist | 300 S Highland Springs Ave Ste 2l, Banning, CA 92220 | 2014-11-13 |
| 1861810244 | Genevra Diana Glenn | Counselor | 2781 W Ramsey, Suite 1, Banning, CA 92220 | 2014-04-02 |
| 1841617420 | Kristen Lew | Internal Medicine | 6109 W.ramsey Street, Banning, CA 92220 | 2014-03-21 |
| 1588917884 | Jamison William Murphy | Military Health Care Provider | Uss Howard Ddg 83, Fpo, AP 92220 | 2012-10-24 |
| 1972871390 | John Hong | Pharmacist | 60 N Highlandsprings, Beaumont, CA 92220 | 2011-12-13 |
| 1679855936 | Lydia Session | Marriage & Family Therapist | 1627 S. Hargrave, Banning, CA 92220 | 2011-09-13 |
| Find all providers in zip 92220 | ||||
| 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 |
|---|---|---|---|---|
| 1578525747 | Quinten Gerald Rowley | Podiatrist | 11555 1/2 Potrero Rd, Banning, CA 92220-6946 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884610 | South Bay Foot & Ankle Specialists, Inc. | Podiatrist | 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 | 2020-09-07 |
| 1811512866 | Ankle & Foot Care Center Inc | Podiatrist | 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 | 2020-06-15 |
| 1912528928 | Clement Podiatry PC | Podiatrist | 505 Sansome St Ste 850, San Francisco, CA 94111-3114 | 2020-04-30 |
| 1942834775 | Felix Sigal Dpm A Professional Corporation | Podiatrist | 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 | 2020-03-02 |
| 1033758339 | Yosemite Bone and Joint Inc | Podiatrist | 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 | 2020-01-03 |
| 1194361634 | K David Flora Dpm Inc | Podiatrist | 1086 N Cherry St, Tulare, CA 93274-2251 | 2019-11-19 |
| 1902457963 | Silverlake Virgil Surgery Center | Podiatrist | 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 | 2019-09-21 |
| 1134778178 | Mohamad Belal Sharif | Podiatrist | Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 | 2019-09-11 |
| 1972159366 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 6061 N 1st St Ste 103, Fresno, CA 93710-5470 | 2019-08-13 |
| 1790331189 | Bay Area Surgical Specialists Inc A Medical Corporation | Podiatrist | 774 N Prospect St Ste B, Porterville, CA 93257-1941 | 2019-08-13 |
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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.