Active NPI
Cullen F Shipman, M.D.
- Family Medicine Physician
- Guilford, VT
National Provider Identifier
1487689535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 219761
- Practice address
- 491 Coolidge Hwy
Guilford, VT 05301-8015 - Phone
- (802) 579-1748
- Fax
- (413) 475-3055
- NPI assigned
- Jul 11, 2006
- Last updated
- Sep 27, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 219761 | MA | Primary |
Addresses
Primary practice location
491 Coolidge Hwy
Guilford, VT 05301-8015
Mailing address
27 Madison Cir
Greenfield, MA 01301-2723
Phone (413) 522-2467
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1245 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodcock Chiropractic Clinic | Past | Accepting new patients | |
| Primary Care Health Partners | Past | Accepting new patients | |
| Regional Physician Services, PC | Past | Accepting new patients | |
| Sterling Emergency Services of the Midwest, Inc | Past | Accepting new patients | |
| Holyoke Health Center Inc. | Past | Accepting new patients | |
| Deirdre H. Donaldson, M.D., PLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8825/brand/4/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Brattleboro, VT
- NPI 1770886715
-
- Pediatrics Physician
- S Burlington, VT
- NPI 1295792745
-
- Radiology Chiropractor
- Guilford, VT
- NPI 1184745978
-
- Community Health Clinic/Center
- Holyoke, MA
- NPI 1740271022
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1508857343
-
dba Ellington Emergency Department Services
- Emergency Medicine Physician
- Lewisburg, TN
- NPI 1700844297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506470400000",
"number": "1487689535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 MADISON CIR",
"city": "GREENFIELD",
"state": "MA",
"postal_code": "013012723",
"telephone_number": "413-522-2467",
"fax_number": "413-475-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 COOLIDGE HWY",
"city": "GUILFORD",
"state": "VT",
"postal_code": "053018015",
"telephone_number": "802-579-1748",
"fax_number": "413-475-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN",
"first_name": "CULLEN",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2017-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "219761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.