MEDICARE: MR. ANTHONY ALAN SHUMWAY PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP10886	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1982836425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANTHONY ALAN SHUMWAY PMHNP-BC

Provider Business Mailing Address
First Line	:	18660 BAGLEY RD BLDG 1
Second Line	:	SUITE 404
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3483
Country	:	US
Telephone Number	:	440-234-8746
Fax Number	:	440-234-8748

Provider Business Practice Location Address
First Line	:	18660 BAGLEY RD BLDG 1
Second Line	:	SUITE 404
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3483
Country	:	US
Telephone Number	:	440-234-8746
Fax Number	:	440-234-8748

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

Provider Enumeration Date	:	08/18/2009
Last Update Date	:	12/17/2025

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