Julia Vlada Shumkov, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7767 Issued in AZ

Practice address

10474 W Thunderbird Blvd Ste 200
Sun City, AZ 85351-3015

Phone

(623) 377-7410

NPI assigned

Oct 12, 2017

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Arizona Neurology Associates PLLC

  • Neurology Physician
  • Sun City, AZ
  • NPI 1932569324
  Medicare reassignment
• Neurocritical Care and Stroke of Arizona PLLC

  • Vascular Neurology Physician
  • Phoenix, AZ
  • NPI 1649561580
  Medicare reassignment

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1528579950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853722099",
            "telephone_number": "623-377-7410",
            "fax_number": "866-798-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD STE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513015",
            "telephone_number": "623-377-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMKOV",
        "first_name": "JULIA",
        "middle_name": "VLADA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00450400",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kye Shealy, CRNA
• Diane Lorine Sheimo, MS,CCC/SLP,BC-NCD(A)
• Christine Sherrill, PT
• Sreysela Ruth Shipman
• David Robert Shprecher, D.O.
• Sankara Atman Sidat-Singh, MD
• Daljinder Sidhu, PHARMD
• Grace Anne Siekman, P.A.-C
• Julie Sillaman
• Jatinder Pal Singh

• Medical Physician Assistant in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.