John Albert Shull, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

10078 Issued in TN

Practice address

929 Spring Creek Rd
Suite 203
Chattanooga, TN 37412-3964

Phone

(423) 855-0357

Fax

(423) 855-4917

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• John a. Shull, M.D., P.C.

  • Specialist
  • Chattanooga, TN
  • NPI 1346421153
  Authorized official Same address or phone

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942212691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SPRING CREEK RD",
            "address_2": "SUITE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123964",
            "telephone_number": "423-855-0357",
            "fax_number": "423-855-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SPRING CREEK RD",
            "address_2": "SUITE 203",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374123964",
            "telephone_number": "423-855-0357",
            "fax_number": "423-855-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULL",
        "first_name": "JOHN",
        "middle_name": "ALBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "10078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "0024916",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Michelle Shrum, RN
• Garrett Drake Shrum
• Edwin Haywood Shuck III, MD
• Chelsea Amanda Shugars, MD
• Melissa Pecko Shuleva, PA-C
• Daniel Josef Shults, DO
• Daxia Genee Shultz
• Sarah Alexandria Shultz, FNP-C
• Alexandria Deimling Shumaker, DPT
• Mary Kathleen Shuster, M.D.

• Obstetrics & Gynecology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.