William S Shimp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19791 Issued in MN

Practice address

3800 Park Nicollet Blvd
Park Nicollet Clinic-Compass Program
St Louis Park, MN 55416-2527

Phone

(952) 993-1500

Fax

(952) 993-2031

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1033196555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 WAYZATA BLVD",
            "address_2": "STE 315",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554261728",
            "telephone_number": "952-993-7169",
            "fax_number": "952-993-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PARK NICOLLET BLVD",
            "address_2": "PARK NICOLLET CLINIC-COMPASS PROGRAM",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162527",
            "telephone_number": "952-993-1500",
            "fax_number": "952-993-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMP",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "19791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deqa Hasan Sheikhahmed
• Ronald B Sheldon
• Lydia Nyakonu Sherman, CNP
• Melissa M Sherman
• Sheron Home Health Care, LLC
• Jacob Shimpa, PHARM D
• Margaret Mary Shipitalo, OD, MS
• Omri Shochatovitz
• Sholom Community Alliance Home Health Care
• Sholom Community Alliance Home Health Care

• Internal Medicine Physician in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.