Terry L Shipe MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01029019 Issued in IN

Legal business name

TERRY L SHIPE MD LLC

Practice address

306 E Maumee St
Suite 2
Angola, IN 46703-2035

Phone

(260) 665-7595

Fax

(260) 665-6586

NPI assigned

Mar 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Terry L Shipe, M.D.

Title

Owner

Phone

(260) 665-7595

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1043450208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 E MAUMEE ST",
            "address_2": "SUITE 2",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032035",
            "telephone_number": "260-665-7595",
            "fax_number": "260-665-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E MAUMEE ST",
            "address_2": "SUITE 2",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467032035",
            "telephone_number": "260-665-7595",
            "fax_number": "260-665-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L SHIPE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "SHIPE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-665-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01029019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01029019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100329370A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Elizabeth Stroop, ATC
• Amelia Swander
• Taryn E Tangerman, OD
• Aisha Tariq
• Zoey Tatro
• Kreg Terry, DDS
• The Sante' Group, Inc.
• Kelli Danielle Thiele, D.M.D
• Thomas International, Inc.
• Adrianne Thomas, PT

• Family Medicine Physician in Angola, IN
• Providers in Angola, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.