| Dr Joseph B Shumway, MD | |
|
965 Mattox Dr, Sullivan, MO 63080-2365 | |
| (573) 860-6000 | |
| (573) 860-6016 |
| Full Name | Dr Joseph B Shumway |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 965 Mattox Dr, Sullivan, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932125242 | NPI | - | NPPES |
| 208012724 | Medicaid | MO | |
| $$$$$$$$$ | Medicaid | IL |
| Entity Name | Tooele Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073512364 PECOS PAC ID: 6800700873 Enrollment ID: O20031113000800 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942903562 PECOS PAC ID: 8022927342 Enrollment ID: O20230615001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph B Shumway, MD 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141-8512 Ph: (314) 448-3791 | Dr Joseph B Shumway, MD 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000 |
Dr. Mark Stanley Wasserman, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016 | |
Dr. Roger J. Rembecki, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016 | |
Yasuo Ishida, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 102 Progress Pkwy # A, Sullivan, MO 63080 Phone: 573-468-6011 Fax: 573-468-7868 |