Gordon Julian Shumate Jr., DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

E3936 Issued in CA

Practice address

405 South St Ste F
Redding, CA 96001-2101

Phone

(530) 246-4800

Fax

(530) 246-4802

NPI assigned

Jul 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1487673471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SOUTH ST STE F",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012101",
            "telephone_number": "530-246-4800",
            "fax_number": "530-246-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SOUTH ST STE F",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012101",
            "telephone_number": "530-246-4800",
            "fax_number": "530-246-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "GORDON",
        "middle_name": "JULIAN",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3936",
            "primary": true
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E3936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie Shreve, SUDRC 1
• Dale Shrout, DC
• Joanne M Shufelberger, MFT-I
• Leah Shayleen Shuffleton
• Natalie Marie Shumaker
• Tyrene Michelle Siadous, MFT
• Manjeet Kaur Sian
• Dolly Sianez
• Sunil Kumar Sibyala, M.D.
• Sowmya Manjari Siddenthi, M.D.

• Primary Podiatric Medicine Podiatrist in Redding, CA
• Providers in Redding, CA by specialty
• Primary Podiatric Medicine Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.