Individual provider Active NPI

John W Shuck, M.D.

  • Cardiovascular Disease Physician
  • Dover, DE
National Provider Identifier
1689641086
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C10006635 Issued in DE
Practice address
540 S Governors Ave Ste 201
Dover, DE 19904-3530
Phone
(302) 672-4600
Fax
(302) 672-4606
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C10006635 DE Primary

Addresses

Primary practice location

540 S Governors Ave Ste 201
Dover, DE 19904-3530

Mailing address

640 S State St
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 672-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001279 DE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 8325038466 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Feb 28, 2011 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc Cardiovascular Disease CurrentSince Apr 1, 2019 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Nov 2, 2004 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Nov 2, 2004 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
Cardiovascular Associates of Southeaster Pennsylvania PC Cardiovascular Disease Past Accepting new patients
Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

540 S Governors Ave
Ste 201
Dover, DE 19904
Phone (302) 672-4600

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

640 S State St
Dover, DE 19901
Phone (302) 744-4700

802 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-6050

101 Wellness Way
Ste 300
Milford, DE 19963
Phone (302) 393-5009

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

18383 Hudson Rd
Fl 2
Milton, DE 19968
Phone (302) 725-3499

252 Chapman Rd
Ste 150
Newark, DE 19702
Phone (302) 366-7665

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1689641086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-672-4600",
            "fax_number": "302-672-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S GOVERNORS AVE STE 201",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043530",
            "telephone_number": "302-672-4600",
            "fax_number": "302-672-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUCK",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10006635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.