Cullen F Shipman (NPI# 1487689535, PAC ID# 0042102659) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
Nation Provider ID (NPI) | 1487689535 |
PAC ID by PECOS | 0042102659 |
Professional Enrollment ID | I20160819001066 |
Full Name | Cullen F Shipman |
Address |
491 Coolidge Hwy Guilford VT 05301-8015 |
Phone Number | 8025791748 |
Gender | M |
Credential | MD |
Graduation Year | 1971 |
Primary Specialty | GERIATRIC MEDICINE |
Secondary Specialties | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220046 | BERKSHIRE MEDICAL CENTER INC |
470011 | BRATTLEBORO MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
491 Coolidge Hwy, Guilford, VT 05301-8015 | 8025791748 |
Street Address |
491 COOLIDGE HWY |
City | GUILFORD |
State | VT |
Zip | 05301-8015 |
Name | Specialty | Organization | Address |
---|---|---|---|
Deirdre Donaldson | Psychiatry | 491 Coolidge Hwy, Guilford, VT 05301-8015 |
Name | Specialty | Organization | Address |
---|---|---|---|
Marc R Laurens | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Susan M Fields | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Lisa Tallin | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Laura J Kelloway | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
James M Benton | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Jilisa Snyder | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Stephanie Ann Cryer | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Dolores G Kane | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
Harvey B Liss | Psychologist, Clinical | 139 Main St, Suite 610, Brattleboro, VT 05301-2800 | |
Sandra T Campbell | Psychologist, Clinical | 139 Main St, Unit 610, Brattleboro, VT 05301-2800 | |
Find all physicians in zip 05301 |
City | GUILFORD |
Zip Code | 05301 |
Specialty | GERIATRIC MEDICINE |
City + Specialty | GUILFORD + GERIATRIC MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.