Provider Demographics
NPI:1619926474
Name:SHURMAN, ALAN JAMES (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:JAMES
Last Name:SHURMAN
Suffix:
Gender:M
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:PO BOX 5096
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-5096
Mailing Address - Country:US
Mailing Address - Phone:360-734-2700
Mailing Address - Fax:360-734-8362
Practice Address - Street 1:2979 SQUALICUM PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-1811
Practice Address - Country:US
Practice Address - Phone:360-734-2700
Practice Address - Fax:360-734-8362
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042064207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8358681Medicaid
WAP00059790OtherRAILROAD MEDICARE
WA82107OtherL&I AND CRIME VICTIMS FOR SJMC
WA1619926474Medicaid
AKMD4451WMedicaid
WAA054OtherTRI WEST (TRICARE)
WA0279980OtherL&I AND CRIME VICTIMS FOR PHMG
WA4327794OtherATENA
WA4552SHOtherREGENCE BLUE SHIELD
WA1619926474Medicaid
WAGAB39143Medicare PIN
WAC89747Medicare UPIN
WAG89000996Medicare PIN