PHILIP R SHUPE (NPI# 1952343808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952343808 |
Entity Type | Individual |
Full Name | PHILIP R SHUPE |
Credential | DPM |
Practice Address |
1530 E Chevy Chase Dr Suite 107 Glendale CA 91206-4163 |
Mailing Address |
Po Box 2180 Toluca Lake CA 91610-0180 |
Practice Telephone | 8182651581 |
Practice Fax Number | 8182655103 |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E2648 | CA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982024501 | Philip Shupe | Social Worker | 1900 Lynwood Pl, Casper, WY 82604-3384 | 2014-04-22 |
Street Address |
1530 E CHEVY CHASE DR SUITE 107 |
City | GLENDALE |
State | CA |
Zip Code | 91206-4163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265780399 | Katharine Lee Pardave | Nurse Practitioner | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-08-21 |
1750641080 | Raul Arturo Pardave, Md, A Medical Corporation | Non-Pharmacy Dispensing Site | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2012-05-21 |
1376817429 | Kent Candelora, Phd, A Psychological Corporation | Psychologist | 1530 E Chevy Chase Dr, Suite 103, Glendale, CA 91206-4139 | 2012-03-06 |
1104118389 | Jivan Melikian M.d. Inc | Internal Medicine | 1530 E Chevy Chase Dr, Suite 206, Glendale, CA 91206-4163 | 2011-05-06 |
1083914162 | Calzadilla Psychological Inc | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2010-10-23 |
1386962058 | Muradian Chiropractic Care Inc | Chiropractor | 1530 E Chevy Chase Dr, # 105, Glendale, CA 91206-4163 | 2010-05-05 |
1427234558 | Raul Arturo Pardave Md A Medical Corporation | Family Medicine | 1530 E Chevy Chase Dr, Suite 207, Glendale, CA 91206-4163 | 2008-01-18 |
1972792778 | John G Olea, Md Apc | Anesthesiology | 1530 E Chevy Chase Dr, Suite 205a, Glendale, CA 91206-4163 | 2007-10-17 |
1679785695 | Christopher J. Charbonnet, M.d., A Professional Corporation | Pain Medicine | 1530 E Chevy Chase Dr, Ste 204, Glendale, CA 91206-4163 | 2007-05-03 |
1609091859 | Douglas Christian Nies | Clinical Neuropsychologist | 1530 E Chevy Chase Dr, Suite 209, Glendale, CA 91206-4163 | 2007-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922611003 | Skyla L Bergin | Behavior Technician | 741 Glenvia St., Suite 200, Glendale, CA 91206 | 2020-08-28 |
1861017303 | Scm Nutrition Diet Inc | Dietitian, Registered | 2437 Bywood Drive, Glendale, CA 91206 | 2020-06-10 |
1336761295 | Glendale Whole Health | Family Medicine | 230 N Maryland Aave #110, Glendale, CA 91206 | 2020-05-14 |
1467010801 | Rebecca Bautista | Counselor | 223 North Jackson Street, Glendale, CA 91206 | 2019-05-31 |
1689132920 | M4l Transport Inc | Non-emergency Medical Transport (VAN) | 336 N Louise St #4d, Glendale, CA 91206 | 2019-03-05 |
1376042705 | Eileen Wong, Md Inc. | Physical Medicine & Rehabilitation | 2664 E Glenoaks Blvd, Glendale, CA 91206 | 2018-02-12 |
1629507900 | Aleksan Chakhoyan | Registered Nurse | 501 N. Glendale Ave., Glendale, CA 91206 | 2017-06-08 |
1851793343 | Sevak Olmessekian | Pharmacist | 230 N. Maryland Ave., Suite 307, Glendale, CA 91206 | 2014-09-16 |
1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
1629488358 | Nina Behdin | Surgery | 1560 E Chevy Chase Dr Ste 430, Glendale, CA 91206 | 2014-05-02 |
Find all providers in zip 91206 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467072090 | Foot & Ankle Specialists of Arizona | Podiatrist | 5681 W Beverly Ln Ste 100a, Glendale, AZ 85306-9800 | 2020-04-23 |
1609366533 | Podiatric Physicians of Arizona, Inc. | Podiatrist | 11851 N 51st Ave Ste D120, Glendale, AZ 85304-2839 | 2018-05-16 |
1790218550 | Noubar Varderessian | Podiatrist | 1122 N Columbus Ave, Apt. 2, Glendale, CA 91202-3241 | 2017-04-09 |
1659721850 | Samvel Keshishyan | Podiatrist | 1339 N Columbus Ave Unit 311, Glendale, CA 91202-3875 | 2016-06-17 |
1639583388 | Jamila Butcher | Podiatrist | 5605 W Eugie Ave Ste 102, Glendale, AZ 85304-1273 | 2014-06-19 |
1710302450 | New Age Foot and Ankle Podiatry PC | Podiatrist | 705 Ivy Street, Glendale, CA 91204 | 2014-03-04 |
1710173489 | Glendale Foot & Ankle Podiatry Center, Inc. | Podiatrist | 1030 S Glendale Ave Ste 403, Glendale, CA 91205-2866 | 2007-09-17 |
1760564272 | Hermoz B Ayvazian | Podiatrist | 110 S Adams St, Glendale, CA 91205-1312 | 2006-10-20 |
1467567883 | Rajesh Praful Daulat | Podiatrist | 6677 W Thunderbird Rd Ste J171-172, Glendale, AZ 85306-3732 | 2006-08-19 |
1780606764 | Allen Massihi | Podiatrist | 311 N Verdugo Rd, Glendale, CA 91206-3944 | 2006-07-25 |
Find all providers in GLENDALE |
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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.