Individual provider Active NPI

Don A Shumway, DPM

  • Podiatrist
  • Snowflake, AZ
National Provider Identifier
1023080405
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
AZ0538 Issued in 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
Last updated
Dec 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X AZ0538 AZ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000273 AZ Practitioner - Podiatry 8628033354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue267
Removal or shaving of skin growth40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0538AZMDAcupuncturist
AZ0538AZMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Don Shumway D P M PC Podiatrist CurrentSince May 27, 2003 Accepting new patients
White Mountain Regional Medical Center CurrentSince Sep 1, 2021 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

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1023080405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 S MAIN ST STE B",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375582",
            "telephone_number": "928-536-4253",
            "fax_number": "928-536-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 S MAIN ST STE B",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375582",
            "telephone_number": "928-536-4253",
            "fax_number": "928-536-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMWAY",
        "first_name": "DON",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "AZ0538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snowflake, AZ

Sources for this page

Verify at the official NPI Registry.