1356499024 NPI number — DR. JOHN MCGOWAN SHIMER D.MIN.

Table of content: DR. JOHN MCGOWAN SHIMER D.MIN. (NPI 1356499024)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356499024 NPI number — DR. JOHN MCGOWAN SHIMER D.MIN.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHIMER
Provider First Name:
JOHN
Provider Middle Name:
MCGOWAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.MIN.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1356499024
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
116 CENTRAL ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROWLEY
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01969-1317
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-948-7666
Provider Business Mailing Address Fax Number:
978-948-7666

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
42 PLEASANT ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEWBURYPORT
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01950-2606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-465-3226
Provider Business Practice Location Address Fax Number:
978-465-3226
Provider Enumeration Date:
01/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  3804 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1890930 . This is a "MBHP" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 6969-01 . This is a "HPHC PACIFICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0516716 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: W04090 . This is a "BCBS OF MA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 539827000 . This is a "MAGELLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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