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NPI Code Detail

MEDICARE: TODD A. SHUMAN M.D.

MEDICARE: TODD A. SHUMAN M.D.
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD019864TN
22086S0102XSurgical Critical Care Physician32305SC
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician32305SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23296881006OTHERTNCIGNA HMO
3P00910275OTHERSCRAILROAD MC ID-RHI
43030643OTHERTNBCBS OF TN
53296881005OTHERTNCIGNA PPO
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
73740032OTHERTNUNITED HEALTHCARE
84221830OTHERTNAETNA PPO
90810895OTHERTNAETNA HMO

General Provider Information

NPI Number : 1710980628
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD A. SHUMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 751649
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1649
Country : US
Telephone Number : 843-789-1620
Fax Number : 843-724-2440
Provider Business Practice Location Address
First Line : 316 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-1113
Country : US
Telephone Number : 843-720-8397
Fax Number : 843-724-2695
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 10/20/2015

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Directions to “ TODD A. SHUMAN M.D.” Practice Location

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