Active NPI
Shipman,Eucker and Associates
- Obstetrics & Gynecology Physician
- Cortland, OH
National Provider Identifier
1003852369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1546736 | Other | OH | GATEWAY |
| 000000179618 | Other | OH | ANTHEM BC BS |
| 2222866 | Medicaid | OH | |
| CJ8412 | Other | OH | RR MEDICARE |
Other names 1
- SHIPMAN, EUCKER AND FEALKO
National Provider Directory
National Provider DirectoryLocations
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.
-
- Obstetrics & Gynecology Physician
- Warren, OH
- NPI 1992700751
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.