SHU SHUM (NPI# 1104883206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104883206 |
| Entity Type | Individual |
| Full Name | SHU SHUM |
| Credential | M.D. |
| Practice Address |
1801 Halstead St Amarillo TX 79106-1830 |
| Mailing Address |
1801 Halstead St Amarillo TX 79106-1811 |
| Practice Telephone | 8063588526 |
| Practice Fax Number | 8063580179 |
| Mailing Telephone | 8063588526 |
| Mailing Fax Number | 8063580179 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | F7915 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SUPERIOR HEALTH PLAN | 109298 | 01 |
| TX | UNITED HEALTH CARE | 0000016449201 | 01 |
| TX | AETNA | 4365173 | 01 |
| TX | BLUE CROSS | 84800G | 01 |
| Street Address |
1801 HALSTEAD ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124665161 | Leslee Richelle Rosas | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106-1830 | 2019-12-10 |
| 1225695737 | 1 Np Inc | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106-1830 | 2019-05-21 |
| 1124537741 | Terra Shea Gearn | Nurse Practitioner | 1801 Halstead St, Amarillo, TX 79106 | 2017-09-26 |
| 1679680839 | Mary Ann Piskun | Plastic Surgery | 1801 Halstead St, Suite B, Amarillo, TX 79106-1830 | 2006-08-24 |
| 1184682221 | Amarillo Pediatric Associates, Pllc | Clinic/Center | 1801 Halstead St, Amarillo, TX 79106-1830 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831226430 | Children's Healthcare Associates, LLP | Pediatrics | 1901 Medi Park Dr Ste 2001, Amarillo, TX 79106-2108 | 2007-02-28 |
| 1104965938 | Robin Elaine Martinez | Pediatrics | 6305 Sunlake Dr, Amarillo, TX 79124-1215 | 2007-02-06 |
| 1063570059 | Nathan Goldstein IIi | Pediatrics | 6810 Montague Dr, Amarillo, TX 79109-5048 | 2006-12-04 |
| 1205858834 | Rex Albert Fletcher | Pediatrics | 3501 S. Soncy, Ste 110, Amarillo, TX 79119-6405 | 2006-07-24 |
| 1447207410 | Margaret Anne Walsh | Pediatrics | 716 N Polk St, Amarillo, TX 79107-5248 | 2006-05-27 |
| 1932621182 | Gabrielle Gloria Tardieu | Pediatrics | 3113 Ross St, Amarillo, TX 79103-2700 | 2017-07-10 |
| 1912431578 | Apurva Ravindra Jain | Pediatrics | 1400 S Coulter St, Suite 1500, Amarillo, TX 79106-1786 | 2017-04-20 |
| 1477086148 | Anders Jordan Leverton | Pediatrics | 1400 S Coulter St, Suite 1500, Amarillo, TX 79106-1786 | 2017-04-09 |
| 1013390004 | Rex Fletcher Mdpa | Pediatrics | 3501 S Soncy Rd, Suite 110, Amarillo, TX 79119-6407 | 2015-07-08 |
| 1639584410 | Arushi Verma | Pediatrics | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2014-06-30 |
| Find all providers in AMARILLO | ||||
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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.