Active NPI
Peter M Shoukimas, PA-C
- Physician Assistant
- Salem, NH
National Provider Identifier
1437274834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 130
- Practice address
- 16 Pelham Rd
Ste 1
Salem, NH 03079-2826 - Phone
- (603) 898-2244
- NPI assigned
- Mar 21, 2007
- Last updated
- Jun 9, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 130 | MA | Primary |
Addresses
Primary practice location
16 Pelham Rd
Ste 1
Salem, NH 03079-2826
Mailing address
16 Pelham Rd
Ste 1
Salem, NH 03079-2826
Phone (603) 898-2244
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0675 | NH | MD | Occupational Therapy Assistant |
| 130 | MA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212969600000",
"number": "1437274834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 PELHAM RD",
"address_2": "STE 1",
"city": "SALEM",
"state": "NH",
"postal_code": "030792826",
"telephone_number": "603-898-2244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 PELHAM RD",
"address_2": "STE 1",
"city": "SALEM",
"state": "NH",
"postal_code": "030792826",
"telephone_number": "603-898-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHOUKIMAS",
"first_name": "PETER",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2008-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.