Provider Demographics
NPI:1629038120
Name:SHELMAN, RICK A (MD)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:A
Last Name:SHELMAN
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 1:510 E BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2803
Mailing Address - Country:US
Mailing Address - Phone:319-338-9247
Mailing Address - Fax:319-338-2785
Practice Address - Street 1:510 E BLOOMINGTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2803
Practice Address - Country:US
Practice Address - Phone:319-338-9247
Practice Address - Fax:319-338-2785
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30691208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA51725OtherBLUE CROSS #
IA020026300OtherMEDICARE RR
IA0123653Medicaid
IAG06768Medicare UPIN
IA51725OtherBLUE CROSS #