Provider Demographics
NPI:1225034275
Name:SHIPMAN, SHARLA (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARLA
Middle Name:
Last Name:SHIPMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 W 74 ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MERRIAM
Mailing Address - State:KS
Mailing Address - Zip Code:66204
Mailing Address - Country:US
Mailing Address - Phone:913-266-8928
Mailing Address - Fax:913-491-4020
Practice Address - Street 1:8901 W 74 ST
Practice Address - Street 2:STE 100
Practice Address - City:MERRIAM
Practice Address - State:KS
Practice Address - Zip Code:66204
Practice Address - Country:US
Practice Address - Phone:913-266-8928
Practice Address - Fax:913-491-4020
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
KS0426992174400000X
KS04-26992207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100315130AMedicaid
KSG69154Medicare UPIN
KS6738341Medicare ID - Type Unspecified