NPIMap

Organization Active NPI

Michael L. Shuman, M.D.P.a.

  • Primary Care Clinic/Center
  • Portland, ME
National Provider Identifier
1063646602
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
006809 Issued in ME
Legal business name
MICHAEL L. SHUMAN, M.D.P.A.
Practice address
15 Mellen St
Portland, ME 04101-2109
Phone
(207) 774-3835
Fax
(207) 774-2176
NPI assigned
May 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Michael Lewis Shuman, M.D.NPI 1912971474
Title
President
Phone
(207) 774-3835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 006809 ME Primary

Addresses

Primary practice location

15 Mellen St
Portland, ME 04101-2109

Mailing address

15 Mellen St
Portland, ME 04101-2109
Phone (207) 774-3835

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1063646602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MELLEN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012109",
            "telephone_number": "207-774-3835",
            "fax_number": "207-774-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MELLEN ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012109",
            "telephone_number": "207-774-3835",
            "fax_number": "207-774-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. SHUMAN, M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "SHUMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-774-3835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ME",
            "license": "006809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.