John M Shima MD PS

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00019175 Issued in WA

Legal business name

JOHN M SHIMA MD PS

Doing business as

calawah medical clinic

Practice address

460 W E St
Forks, WA 98331-9121

Phone

(360) 374-2500

NPI assigned

Nov 8, 2012

Last updated

Nov 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John M Shima, MDNPI 1598706103

Title

President

Phone

(360) 374-2500

Specialties & licenses 1

Addresses

Other names 1

• calawah medical clinic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John M Shima, MD

  • Emergency Medicine Physician
  • Forks, WA
  • NPI 1598706103
  Authorized official Same address or phone

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

{
    "created_epoch": "1352332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1437403763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W E ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W E ST",
            "city": "FORKS",
            "state": "WA",
            "postal_code": "983319121",
            "telephone_number": "360-374-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M SHIMA MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-08",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "SHIMA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-374-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00019175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "calawah medical clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel House
• Jeffrey C Hsu, D.D.S.
• Kristie Catalina Jacobson, CDPT
• Wilbert Daniel James, M.D.
• Jeffrey C. Hsu PLLC
• John M Shima MD PS (Calawah Medical Clinic)
• Beatrice Katharine Kaufman, LMHC
• Susan Keilman, A.R.N.P., C.N.M.
• Jennifer Klahn
• Stephen H Kriebel, M.D.

• Specialist in Forks, WA
• Providers in Forks, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.