Timothy D Shumaker (NPI# 1376587956, PAC ID# 2062581770) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1376587956 |
PAC ID by PECOS | 2062581770 |
Professional Enrollment ID | I20080521000503 |
Full Name | Timothy D Shumaker |
Organization Legal Name | MISSISSIPPI STATE HOSPITAL WHITFIELD |
Address |
350 Capers Ave Jackson MS 39203-2131 |
Phone Number | 6013518004 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 5294727533 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250134 | WHITFIELD MEDICAL SURGICAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
350 Capers Ave, Jackson, MS 39203-2131 | 6013518004 | MISSISSIPPI STATE HOSPITAL WHITFIELD |
Organization Legal Name | MISSISSIPPI STATE HOSPITAL WHITFIELD |
Physicians | 19 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen W Commiskey | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
Stephen B Shoop | Osteopathic Manipulative Medicine | Mississippi State Hospital Whitfield | 350 Capers Ave, Jackson, MS 39203-2131 |
Richard J Aubert Jr. | Psychiatry | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
John W Norton | Psychiatry | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
John L Kennedy Jr. | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
William D Coughlin | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
John D Floyd | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
Zinat R Khandekar | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
Kevin M Young | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
Chasity L Torrence | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
Street Address |
350 CAPERS AVE |
City | JACKSON |
State | MS |
Zip | 39203-2131 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen B Shoop | Osteopathic Manipulative Medicine | Mississippi State Hospital Whitfield | 350 Capers Ave, Jackson, MS 39203-2131 |
Name | Specialty | Organization | Address |
---|---|---|---|
Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
City | JACKSON |
Zip Code | 39203 |
Specialty | PSYCHIATRY |
City + Specialty | JACKSON + PSYCHIATRY |
Please comment or provide details below to improve the information on Timothy D Shumaker.
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.