DR. PETER RANDALL SHUMAKER (NPI# 1982682852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982682852 |
| Entity Type | Individual |
| Full Name | DR. PETER RANDALL SHUMAKER |
| Credential | MD |
| Practice Address |
Naval Medical Ctr 34800 Bob Wilson Dr., Ste 300 San Diego CA 92134-0001 |
| Practice Telephone | 6195329660 |
| Mailing Telephone | 6195329660 |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2015-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
A99780 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073738621 | Peter Elliott Shumaker | Dentist | 17220 Mack Ave, Grosse Pointe, MI 48230-6254 | 2007-04-16 |
| Street Address |
NAVAL MEDICAL CTR 34800 BOB WILSON DR., STE 300 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255325486 | Kobjit Waran Heaton | Specialist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2005-09-02 |
| 1942787296 | Jacob Michael Conrad | Dentist | Naval Medical Ctr, San Diego, CA 92134-0001 | 2018-07-19 |
| 1508352089 | Benjamin Hwang | Dentist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2018-07-08 |
| 1932604493 | Vivienne Nague | Pharmacist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-1098 | 2018-03-27 |
| 1932618055 | Drew Pearson | Dentist | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-09-20 |
| 1942720230 | Maunoo Lee | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-06-27 |
| 1275053712 | Athena Mikros | Student in an Organized Health Care Education/Training Program | Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-5000 | 2017-06-26 |
| 1205362084 | Ryan Baxter | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-05-11 |
| 1205362266 | Sidney Perles | Military Health Care Provider | Naval Medical Ctr, 34800 Bob Wilson Drive, San Diego, CA 92134-5000 | 2017-05-11 |
| 1962938068 | Eric Emerling | Student in an Organized Health Care Education/Training Program | Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134-0001 | 2017-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114059623 | Sandra Stephanie Morimoto | Dermatology | 13625 Glencliff Way, San Diego, CA 92130-1324 | 2007-03-10 |
| 1467421917 | William P Mansfield | Dermatology | 406 9th Ave, Suite 201, San Diego, CA 92101-7276 | 2006-03-16 |
| 1285961623 | Douglas M Keel Do Inc | Dermatology | 8899 University Center Ln, Suite 150, San Diego, CA 92122-1013 | 2009-11-05 |
| 1205090826 | Salman M S Alsaad | Dermatology | 3811 Valley Centre Dr, San Diego, CA 92130-3318 | 2008-07-13 |
| 1760522080 | Kimberly Jane Butterwick | Dermatology | 9339 Genesee Ave, 300, San Diego, CA 92121-2119 | 2007-02-07 |
| 1538240833 | Mitchel Paul Goldman | Dermatology | 9339 Genesee Ave, 300, San Diego, CA 92121-2119 | 2006-10-17 |
| 1154320075 | Douglas Michael Keel | Dermatology | 8899 University Center Ln, Suite 150, San Diego, CA 92122-1013 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578175006 | Lms Medical Services | Dermatology | 1118 N Mccadden Pl, Los Angeles, CA 90038-1213 | 2020-08-17 |
| 1932687241 | Silhouette Medical Group | Dermatology | 101 E Vineyard Ave Ste 107, Livermore, CA 94550-6877 | 2018-07-31 |
| 1780188482 | California Dermatology Physicians | Dermatology | 1902 Fullerton Ave # 102, Corona, CA 92881-3112 | 2018-03-19 |
| 1942709738 | Azadeh Shirazi Md Inc | Dermatology | 7301 Girard Ave Ste 202, La Jolla, CA 92037-5151 | 2018-02-07 |
| 1205342920 | Solano Dermatology Associates Inc | Dermatology | 1700 2nd St Ste 220, Napa, CA 94559-2455 | 2017-12-18 |
| 1831603901 | Laser Medspa, Inc. | Dermatology | 73655 El Paseo Ste N, Palm Desert, CA 92260-4304 | 2017-11-27 |
| 1326427204 | Jennifer Herrmann Md Inc | Dermatology | 421 N Rodeo Dr Ste 7, Beverly Hills, CA 90210-4514 | 2015-05-25 |
| 1235540196 | Microsurgery Goup | Dermatology | 21039 S Figueroa Ave Suite 201, Carson, CA 90745-7042 | 2014-05-14 |
| 1811261183 | Robert Ray Nettles | Dermatology | 8500 Wilshire Blvd Ste 630, Beverly Hills, CA 90211-3139 | 2012-03-02 |
| 1164748737 | Jane Chung | Dermatology | 895 E Fremont Ave Ste 201, Sunnyvale, CA 94087-2973 | 2010-04-08 |
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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.