Provider Demographics
NPI:1790231264
Name:SCHUMER, YEKATERINA SHPINO (PA-C)
Entity Type:Individual
Prefix:
First Name:YEKATERINA
Middle Name:SHPINO
Last Name:SCHUMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:YEKATERINA
Other - Middle Name:
Other - Last Name:SHPINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 STRIDESHAM CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-5301
Mailing Address - Country:US
Mailing Address - Phone:410-382-0112
Mailing Address - Fax:
Practice Address - Street 1:5401 OLD COURT RD
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-5103
Practice Address - Country:US
Practice Address - Phone:410-521-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant