John Joseph Shigo Jr., M.D.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

010142043 Issued in VA

Practice address

417 Scarburgh Way
Alexandria, VA 22312-6212

Phone

(301) 537-9850

Fax

(707) 539-5511

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1124173976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SCARBURGH WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126212",
            "telephone_number": "301-537-9850",
            "fax_number": "707-539-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SCARBURGH WAY",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223126212",
            "telephone_number": "301-537-9850",
            "fax_number": "707-539-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIGO",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101042043",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "010142043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherwood Hall Pharmacy
• Jinal Sheth, MD
• Sonal Sheth, DPT
• Hailing Shi
• Alexandra Shields, PT, DPT
• Shiloh Family Medicine PC
• Eyerusalem Shimeles
• Irene Shin, DDS
• Michelle Mihee Shin
• Leon G Shingledecker, DPM

• Primary Care Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Primary Care Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.