DR. JACOB WAYNE SHIPLEY (NPI# 1063643856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063643856 |
| Entity Type | Individual |
| Full Name | DR. JACOB WAYNE SHIPLEY |
| Credential | M.D. |
| Practice Address |
126 E Church St Ste 2400 Somerset PA 15501 |
| Mailing Address |
329 S Pleasant Ave Somerset PA 15501-2262 |
| Practice Telephone | 8144435800 |
| Practice Fax Number | 8144435499 |
| Mailing Telephone | 8144453575 |
| Mailing Fax Number | 8144455700 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD450197 | PA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35.123054 | OH | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD450197 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015083500031 | 05 | |
| OH | MEDICARE PTAN | H318750 | 01 |
| OH | ANTHEM BCBS | 000000873681 | 01 |
| PA | RAILROAD MEDICARE | CI6140 | 01 |
| PA | HIGHMARK BLUE SHIELD | 002533543 | 01 |
| OH | ACS DEPT OF LABOR WC | 618271100 | 01 |
| OH | CAQH | 12700751 | 01 |
| PA | MEDICARE | 710929 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7067 Tiffany Blvd Ste 230, Youngstown, OH 44514 | 3307582748 | 3307583282 |
| Street Address |
126 E CHURCH ST STE 2400 |
| City | SOMERSET |
| State | PA |
| Zip Code | 15501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083108559 | Jeffrey G. Carberry, Dmd, PC | Dentist | 203 E. Patriot St., Suite 200, Somerset, PA 15501 | 2018-06-19 |
| 1437666062 | Area Agency On Aging of Somerset County | Home Delivered Meals | 1338 South Edgewood Avenue, Somerset, PA 15501 | 2018-01-04 |
| 1982131157 | Zachary James Ankney | Family Medicine | 329 S. Pleasant Ave., Somerset, PA 15501 | 2017-05-17 |
| 1013382142 | Susan Kimmel | Counselor | Georgian Place, Suite 309, Somerset, PA 15501 | 2015-12-01 |
| 1659759850 | Mohammed Abuzar Khan | Internal Medicine | 225 S Center Avenue Somerset Hospital, Somerset, PA 15501 | 2015-05-08 |
| 1649586991 | Kathryn Relampagos Trinidad | Family Medicine | 329 S. Pleasant Avenue, Somerset, PA 15501 | 2010-08-25 |
| 1811141823 | Orthopedic & Sports Physical Therapy Associates, Inc. | Durable Medical Equipment & Medical Supplies | 223 S. Pleasant Ave, Suite 301, Somerset, PA 15501 | 2008-11-05 |
| 1720256480 | Antoinette L Botti Od | Optometrist | 134 West Main St, Somerset, PA 15501 | 2008-02-15 |
| 1558561654 | Bedford-somerset Developmental and Behavioral Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 668 Rear East Main Street, Somerset, PA 15501 | 2007-07-18 |
| 1275650137 | Jeffrey G. Carberry | Dentist | 203 E Patriot St, Suite 200, Somerset, PA 15501 | 2007-03-24 |
| Find all providers in zip 15501 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861826083 | Physician Services Psc | Pain Medicine | 607 Clifty St, Somerset, KY 42503-1765 | 2013-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326655267 | Optimal Orthopaedics Pllc | Pain Medicine | 3605 Edgmont Ave Ste A, Brookhaven, PA 19015-2862 | 2020-09-24 |
| 1851861165 | Gandaparsin, LLC | Pain Medicine | 1519 Wallace St, Philadelphia, PA 19130-3446 | 2018-11-29 |
| 1184130056 | April E Palmer | Pain Medicine | 1235 Penn Ave Ste 302, Wyomissing, PA 19610-2100 | 2017-12-14 |
| 1740795061 | Pinnacle Pain, LLC | Pain Medicine | 2701 Holme Ave Ste 205, Philadelphia, PA 19152-2029 | 2017-12-08 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1497293443 | Tower Health Medical Group | Pain Medicine | 420 S 5th Ave # D1, West Reading, PA 19611-2143 | 2017-02-09 |
| 1598188492 | Excel Pain Consultants LLC | Pain Medicine | 1 Hospital Dr Ste 103, Aliquippa, PA 15001 | 2014-01-28 |
| 1003120213 | Michael J Schina Jr. | Pain Medicine | 3101 Bristol Rd., Bensalem Pain Management, Bensalem, PA 19020-5006 | 2010-07-29 |
| 1164542957 | Kirit K Kothari Md PC | Pain Medicine | Route 115 & Switzgable Road, Brodheadsville, PA 18322 | 2007-03-29 |
| 1164575031 | Van Edward Scott | Pain Medicine | 2017 West State Street, Suite I, New Castle, PA 16101-1251 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.