Eugene Rodman Shippen III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD014559E Issued in PA

Practice address

9 East Lancaster Avenue
Shillington, PA 19607

Phone

(610) 777-7896

Fax

(610) 775-3677

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2010 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659445849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EAST LANCASTER AVENUE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-7896",
            "fax_number": "610-775-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EAST LANCASTER AVENUE",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "19607",
            "telephone_number": "610-777-7896",
            "fax_number": "610-775-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPEN",
        "first_name": "EUGENE",
        "middle_name": "RODMAN",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD014559E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Seidel
• Terry Lynne Seltzer, PTA
• Megan Evans Shannon, D.P.M.
• Thomas Shannon Jr., D.P.M.
• Shillington Eye Associates
• Joseph Christopher Smith, D.P.M.
• Susan Campbell Snyder, CRNP
• Spectrum Community Services, Inc.
• Spiritedpath Wellness
• Sports & Medical Massage LLC

• Family Medicine Physician in Shillington, PA
• Providers in Shillington, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.