DR. M.D. Jacob Wayne Shipley, NPI 1063643856
Pain Medicine Physician in Somerset, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1063643856
NPI Entity Type Individual
Provider Name DR. M.D. Jacob Wayne Shipley
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 126 E Church St Ste 2400, Somerset, PA, US
Provider Mailing Address 329 S Pleasant Ave, Somerset, PA, US, 155012262
Gender Male
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208VP0000X

Taxonomy Name Pain Medicine Physician
Classification

Pain Medicine

Group

Allopathic & Osteopathic Physicians

License No. MD450197
License State PA
Description Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Business Address

DR. M.D. Jacob Wayne Shipley
126 E Church St Ste 2400

Somerset, PA, US

Phone: 814-443-5800
Fax: 814-443-5499

Mailing Address

DR. M.D. Jacob Wayne Shipley
329 S Pleasant Ave
Somerset, PA, US
ZIP 155012262
Phone: 814-445-3575
Fax: 814-445-5700

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207L00000X

Allopathic & Osteopathic Physicians

Anesthesiology

MD450197 PA No

207LP2900X

Allopathic & Osteopathic Physicians

Anesthesiology

35.123054 OH No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
H318750 OH MEDICARE PTAN 01
CI6140 PA RAILROAD MEDICARE 01
618271100 OH ACS DEPT OF LABOR WC 01
0015083500031 PA MEDICAID 05
002533543 PA HIGHMARK BLUE SHIELD 01
000000873681 OH ANTHEM BCBS 01
12700751 OH CAQH 01
710929 PA MEDICARE 01

Health Information Exchange

Endpoint Type Endpoint Description Use Content Type Affiliation Location
DIRECT [email protected] No 126 E Church St Ste 2400, Somerset, PA, US

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