MEDICARE: DR. STEPHEN R SHOEMAKER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	02000973	IN

General Provider Information

NPI Number	:	1538111901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN R SHOEMAKER D.O.

Provider Business Mailing Address
First Line	:	1116 MILLIS AVE
Second Line	:	SUITE 201 B
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2242
Country	:	US
Telephone Number	:	812-897-7381
Fax Number	:	812-897-7331

Provider Business Practice Location Address
First Line	:	1116 MILLIS AVE
Second Line	:	SUITE 201 B
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2242
Country	:	US
Telephone Number	:	812-897-7381
Fax Number	:	812-897-7331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1588666390 — ST. MARY'S WARRICK HOSPITAL, INC
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-7139
Practice Fax: 812-897-7138

1205896941 — DR. MARIA RITA BOLISAY M.D.
Practice Location Address:

1116 MILLIS AVE , SUITE 101
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-7383
Practice Fax: 812-897-7236

1316951130 — MICHELLE BLINN O'NEILL MD
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-7130
Practice Fax: 812-897-7280

1518078922 — RICK YEAGER MD
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-4800
Practice Fax: 812-897-7375

1831200237 — DAVID VAUGHN MD
Practice Location Address:

1116 MILLIS AVE
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-4800
Practice Fax: 812-897-7375

1033215645 — MIDWEST MEDICAL ASSOCIATES, LLC
Practice Location Address:

1116 MILLIS AVE , SUITE 101
BOONVILLE, IN
47601-2242

Practice Phone: 812-897-7383
Practice Fax: 812-897-7236

Directions to “ DR. STEPHEN R SHOEMAKER D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.