Organization Active NPI

Shipman,Eucker and Associates

  • Obstetrics & Gynecology Physician
  • Cortland, OH
National Provider Identifier
1003852369
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SHIPMAN,EUCKER AND ASSOCIATES
Practice address
2652 Elm Rd NE
Cortland, OH 44410-9393
Phone
(800) 292-3008
Fax
(330) 629-9181
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Tara S Shipm,an, MD
Title
President
Phone
(330) 372-0372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X OH Primary

Addresses

Primary practice location

2652 Elm Rd NE
Cortland, OH 44410-9393

Mailing address

2652 Elm Rd NE
Cortland, OH 44410-9393
Phone (800) 292-3008

Other identifiers 4

IdentifierTypeStateIssuer
1546736OtherOHGATEWAY
000000179618OtherOHANTHEM BC BS
2222866MedicaidOH
CJ8412OtherOHRR MEDICARE

Other names 1

  • SHIPMAN, EUCKER AND FEALKO Doing business as

National Provider Directory

National Provider Directory

Locations

2652 Elm Rd NE
Cortland, OH 44410
Phone (330) 372-0372

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003852369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "800-292-3008",
            "fax_number": "330-629-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 ELM RD NE",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "800-292-3008",
            "fax_number": "330-629-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIPMAN,EUCKER AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIPM,AN",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-372-0372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1546736",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000179618",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222866",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ8412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIPMAN, EUCKER AND FEALKO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cortland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.