Organization
SHIPMAN,EUCKER AND ASSOCIATES
Active
Other names
SHIPMAN, EUCKER AND FEALKO
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA S SHIPM,AN MD (PRESIDENT)
(330) 372-0372
Entity
Organization
Contact information
Practice address
2652 ELM RD NE, CORTLAND, OH 44410-9393
(800) 292-3008
(330) 629-9181
Mailing address
2652 ELM RD NE, CORTLAND, OH 44410-9393
(800) 292-3008
(330) 629-9181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000179618
ANTHEM BC BS
OH
01
—
1546736
GATEWAY
OH
05
—
2222866
—
OH
01
—
CJ8412
RR MEDICARE
OH
Enumeration date
06/22/2006
Last updated
07/21/2022
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