Individual provider Active NPI

Erin Leigh Shumans

  • Pediatrics Physician
  • Daytona Beach, FL
National Provider Identifier
1306334479
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME157710 Issued in FL
Practice address
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone
(407) 975-0410
Fax
(407) 975-0407
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD478320 PA
Pediatrics Physician 208000000X ME157710 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167

Mailing address

101 Stonewall Dr
Savannah, GA 31419-3272
Phone (912) 665-0528

Other practice location 1

1 Hospital Way
Butler, PA 16001-4670
Phone (724) 285-0823

Other practice location 2

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 265-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220914001341 PA Practitioner - Pediatric Medicine 7810241064 Reassigns benefits to 1 organization
I20231208001434 FL Practitioner - Pediatric Medicine 7810241064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Pediatrics CurrentSince Sep 27, 2023 Accepting new patients
Butler Medical Providers CurrentSince Aug 1, 2022 Accepting new patients
The Metrohealth System Current Accepting new patients
Butler Medical Providers Current Accepting new patients
Butler Medical Providers Pediatrics CurrentSince Aug 1, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 27, 2023 Accepting new patients

Locations

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

127 Oneida Valley Rd
Ste 400
Butler, PA 16001
Phone (724) 431-0550

1 Hospital Way
Butler, PA 16001
Phone (412) 492-0800

1 Hospital Dr
Clarion, PA 16214
Phone (814) 226-1336

Interoperability endpoints

  • Direct secure messaging: eshumans280020@direct.metrohealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1306334479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STONEWALL DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314193272",
            "telephone_number": "912-665-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MEMORIAL MEDICAL PKWY",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175167",
            "telephone_number": "407-975-0410",
            "fax_number": "407-975-0407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "PA",
            "postal_code": "160014670",
            "country_code": "US",
            "telephone_number": "724-285-0823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-265-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMANS",
        "first_name": "ERIN",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD478320",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME157710",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.