Active NPI
Charles R Shuman III, M.D.
- Psychiatry Physician
- Saint Joseph, MO
National Provider Identifier
1881617074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 110236
- Practice address
- 105 Far West Dr Ste 202
Saint Joseph, MO 64506-3514 - Phone
- (816) 271-8113
- NPI assigned
- Jul 26, 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 110236 | MO | |
| Psychiatry Physician | 2084P0800X | 110236 | MO | Primary |
Addresses
Primary practice location
105 Far West Dr Ste 202
Saint Joseph, MO 64506-3514
Mailing address
105 Far West Dr Ste 202
Saint Joseph, MO 64506-3514
Phone (816) 271-8113
Other practice location 1
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-7273
Other practice location 2
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-7273
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 |
|---|---|---|---|
| 110236 | MO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwestern Health Management, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Saint Joseph, MO
- NPI 1104962901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1881617074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 FAR WEST DR STE 202",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063514",
"telephone_number": "816-271-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 FAR WEST DR STE 202",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645063514",
"telephone_number": "816-271-8113"
}
],
"practiceLocations": [
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5325 Faraon St",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MO",
"postal_code": "645063488",
"country_code": "US",
"telephone_number": "816-271-7273",
"fax_number": "816-271-7376",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHUMAN",
"first_name": "CHARLES",
"middle_name": "R",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "110236",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "110236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
- Hilary B Shoemaker
- William Frederick Shonkwiler, PT
- Kristopher Mitchell Short
- Lauren Ashley Short, APRN
- Poonam Shrestha
- Susan L. Shuman, PSYD
- Darci Shuster, ATC, LAT
- Sharon E. Shutts, ED.S. LPC, LCPC, NCC
- Sibyl Downing LLC (Downing Pediatrics)
- Sibyl Downing MD LLC (Herzog Health and Wellness Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.