Russell Shipman in Jacksonville - Pediatric Emergency Medicine
Russell Shipman - NPI 1871606210
Russell Shipman is a Pediatric Emergency Medicine in Jacksonville, Florida. Russell Shipman practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Russell Shipman is 1871606210. The last update date is 2019-05-24.
Russell Shipman's current location address is 10140 Centurion Pkwy N, Jacksonville, Florida. You can contact this provider via phone number 9046974100 and fax number 9046975102. The mailing address for Russell Shipman is 10140 Centurion Pkwy N, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Shipman |
|---|---|
| Address | 10140 Centurion Pkwy N, Jacksonville, Florida |
| Phone Number | 9046974100 |
| Fax Number | 9046975102 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1871606210 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2019-05-24 |
Provider Mailing Address Detail
| Address | 10140 Centurion Pkwy N |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322560532 |
| Phone Number | 9046974100 |
| Fax Number | 9046975102 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | OS13106 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 014 526 800 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell Shipman by the Centers for Medicare & Medicaid Services?
The Russell Shipman has been issued the NPI (National Provider Identifier) 1871606210, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Russell Shipman is physically located?
The Russell Shipman is physically situated at the following address: 10140 Centurion Pkwy N, Jacksonville, FL, 322560532.
What is the Russell Shipman's specialty and taxonomy code?
The Russell Shipman's specialty is Pediatric Emergency Medicine, and the corresponding taxonomy code is 2080P0204X.
On what date did Russell Shipman receive its 1871606210 assignment from the Centers for Medicare & Medicaid Services?
The Russell Shipman was assigned its 1871606210 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Russell Shipman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Russell Shipman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-05-24.