Don A Shumway, DPM
Individual provider Active NPI Podiatrist · Snowflake, AZ
NPI 1023080405 · NPPES record last updated Dec 22, 2015
Key facts
- NPI
- 1023080405
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- AZ0538 (AZ)
- Practice address
- 1083 S Main St Ste B
Snowflake, AZ 85937-5582 - Phone
- (928) 536-4253
- Fax
- (928) 536-5942
- NPI assigned
- Feb 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1083 S Main St
Suite B
Snowflake, AZ 85937-5582
Phone (928) 536-4253
Hospital & facility affiliations
- Summit Healthcare Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 28 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 267 |
| Removal or shaving of skin growth | 40 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123000273 | AZ | Practitioner - Podiatry | 8628033354 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0538 | AZ | MD | Acupuncturist |
| AZ0538 | AZ | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Don Shumway D P M PC | Podiatrist | Current |
Accepting new patients |
| White Mountain Regional Medical Center | Current |
Accepting new patients |
Locations
1083 S Main St
Ste B
Snowflake, AZ 85937
Phone (928) 536-4253
590 S Main St
Snowflake, AZ 85937
Phone (520) 536-7519
118 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-4368
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | AZ0538 | AZ | Yes |
Addresses
Primary practice location
1083 S Main St Ste B
Snowflake, AZ 85937-5582
Mailing address
1083 S Main St Ste B
Snowflake, AZ 85937-5582
Phone (928) 536-4253
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 589335 | Medicaid | AZ |
Other providers in Snowflake, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.