PHILIP R SHUPE


Address: 1530 E Chevy Chase Dr, Suite 107, Glendale, CA 91206-4163
Phone: 8182651581

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
E2648 CA Podiatric Medicine & Surgery Service Providers

Other Providers PHILIP SHUPE

NPI Name Taxonomy Address Enumeration
1982024501 Philip Shupe Social Worker 1900 Lynwood Pl, Casper, WY 82604-3384 2014-04-22

Office Location

Street Address 1530 E CHEVY CHASE DR
SUITE 107
City GLENDALE
State CA
Zip Code 91206-4163

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City GLENDALE
Zip Code 91206

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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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