Olivia Garrett Shumake, PAC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

6550 Fannin St
Suite 2600
Houston, TX 77030-2717

Phone

(713) 441-3150

NPI assigned

Oct 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrative Emergency Services Physician Group-Houston PLLC

  • Emergency Medicine Physician
  • Pasadena, TX
  • NPI 1801458708
  Medicare reassignment
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1891031894
  Medicare reassignment
• Bessemer Emergency Physicians, LLC.

  • Emergency Medicine Physician
  • Bessemer, AL
  • NPI 1932298536
  Medicare reassignment
• Emergency Physician Associates, P.a.

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1467478628
  Medicare reassignment
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605
  Medicare reassignment
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment
• St. Vincent'S Urgent Care LLC

  • Urgent Care Clinic/Center
  • Homewood, AL
  • NPI 1346605821
  Medicare reassignment
• Trinity Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1487669016
  Medicare reassignment
• Alabama Emergency Physician Partners, LLC

  • Emergency Medicine Physician
  • Gadsden, AL
  • NPI 1194106443
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Monroeville, AL
  • NPI 1013519230
  NPD
• Stopwatch Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  NPD

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1609129535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MORETTI CIR",
            "address_2": "APARTMENT 381",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352091974",
            "telephone_number": "321-543-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-441-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAKE",
        "first_name": "OLIVIA",
        "middle_name": "GARRETT",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-16",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shults Industries Inc
• Anupama A. Shultz, M.D.
• Erik P Shultz, M.D.
• Jasmine Shum, MSN, APRN, CPNP-AC
• Jonathan W Shum, MD, DDS
• Shuman Home Health, LLC
• Michelle Shuman, M.D.
• Joe Arthur Shumate, DMD
• Mirabel Shumbe
• Megan Cibulas Shumway, MD

• Surgical Physician Assistant in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.