Active NPI
James G Showalter, M.D.
- Child & Adolescent Psychiatry Physician
- Sellersville, PA
National Provider Identifier
1104833755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD036681E
- Practice address
- 807 Lawn Ave
Sellersville, PA 18960-1549 - Phone
- (215) 257-6551
- Fax
- (215) 257-9347
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD036681E | PA | Primary |
Addresses
Primary practice location
807 Lawn Ave
Sellersville, PA 18960-1549
Mailing address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-0001
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001663460 | Other | PA | MAGELLAN BEHAVIORAL HEALT |
| RAILROAD MEDICARE | Other | PA | 260045830 |
| SH724972 | Other | PA | BLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD036681E | PA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1104833755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984310001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 LAWN AVE",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601549",
"telephone_number": "215-257-6551",
"fax_number": "215-257-9347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOWALTER",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "MD036681E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "001663460",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "260045830",
"identifier": "RAILROAD MEDICARE",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD",
"identifier": "SH724972",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.