Active NPI
Jeffrey Saville Shultz, MD
- Endocrinology, Diabetes & Metabolism Physician
- Wheeling, WV
National Provider Identifier
1558379420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 9054
- Practice address
- 2000 Eoff St
Wheeling, WV 26003 - Phone
- (304) 234-8363
- Fax
- (304) 234-8133
- NPI assigned
- Aug 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9054 | WV | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 9054 | WV | Primary |
Addresses
Primary practice location
2000 Eoff St
Wheeling, WV 26003
Mailing address
2000 Eoff St
Wheeling, WV 26003
Phone (304) 234-8363
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110198916 | Other | RAILROAD MEDICARE | |
| 0082069000 | Medicaid | WV | |
| 0318114 | Medicaid | OH |
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 |
|---|---|---|---|
| 9054 | WV | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital and Medical Center of Cumberland, Inc. | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Memorial Hosp Med Ctr Hosp
- General Acute Care Hospital
- Cumberland, MD
- NPI 1669437216
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345766400000",
"number": "1558379420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-234-8363",
"fax_number": "304-234-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 EOFF ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "26003",
"telephone_number": "304-234-8363",
"fax_number": "304-234-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULTZ",
"first_name": "JEFFREY",
"middle_name": "SAVILLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2012-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "9054",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WV",
"license": "9054",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110198916",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082069000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0318114",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.