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 | 4 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 | 79 |
Entity Name | Banner Urgent Care Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316349855 PECOS PAC ID: 3678749496 Enrollment ID: O20111228000784 |
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 |
Entity Name | Banner Urgent Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609229764 PECOS PAC ID: 4284921610 Enrollment ID: O20160928001188 |
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: Not Enrolled in Medicare Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Larry W Nichols, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 S Main St, Snowflake, AZ 85937 Phone: 928-536-7519 Fax: 928-536-7305 | |
Mark Lindsay, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 N Mary Jane Ln, Snowflake, AZ 85937 Phone: 928-699-9643 | |
Lawrence D Coss, 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 |