| Randal Jordan Shumway, DO | |
|
590 S Main Street, Snowflake, AZ 85937-4400 | |
| (928) 536-7519 | |
| (928) 532-2139 |
| Full Name | Randal Jordan Shumway |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 5 Years |
| Location | 590 S Main Street, Snowflake, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962027326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 009441 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Healthcare Medical Associates | 8729205737 | 66 |
| Entity Name | Summit Healthcare Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
| Mailing Address | Practice Location Address |
|---|---|
| Randal Jordan Shumway, DO 590 S Main Street, Snowflake, AZ 85937-4400 Ph: (928) 536-7519 | Randal Jordan Shumway, DO 590 S Main Street, Snowflake, AZ 85937-4400 Ph: (928) 536-7519 |
Alan N Dewitt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Lincoln David Hiatt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Larry W Nichols, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 |