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NPI Code Detail

MEDICARE: DR. JOSEPH B SHUMWAY MD

MEDICARE: DR. JOSEPH B SHUMWAY MD
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
1207V00000XObstetrics & Gynecology Physician13208172-1205UT
2207VM0101XMaternal & Fetal Medicine Physician109051MO
3207VM0101XMaternal & Fetal Medicine Physician036092040IL
4207V00000XObstetrics & Gynecology Physician109051MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932125242
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH B SHUMWAY MD
Provider Business Mailing Address
First Line : 660 MASON RIDGE CENTER DR STE 300
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63141-8512
Country : US
Telephone Number : 314-448-3791
Fax Number : 314-996-7658
Provider Business Practice Location Address
First Line : 965 MATTOX DR
Second Line :
City : SULLIVAN
State : MO
Zip : 63080-2365
Country : US
Telephone Number : 573-860-6000
Fax Number : 573-860-6016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 03/04/2025

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Directions to “ DR. JOSEPH B SHUMWAY MD” Practice Location

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