Individual
REBECCA RYAN SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
732 THIMBLE SHOALS BLVD STE 803, NEWPORT NEWS, VA 23606
(757) 933-8888
(757) 806-6320
Mailing address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101263940
VA
208VP0000X
Pain Medicine Physician
00116028976
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275978017
DEPT OF LABOR
VA
05
—
1275978017
—
VA
01
—
670633
BLUE CROSS BLUE SHIELD
VA
01
—
6731883
UNITED HEALTHCARE
VA
Enumeration date
05/07/2013
Last updated
04/15/2021
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