Provider Demographics
NPI:1770699050
Name:SHUMAN, TOBI LYNN (DO)
Entity type:Individual
Prefix:
First Name:TOBI
Middle Name:LYNN
Last Name:SHUMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BROOKS LANE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025
Mailing Address - Country:US
Mailing Address - Phone:412-469-3600
Mailing Address - Fax:412-469-3630
Practice Address - Street 1:1200 BROOKS LANE
Practice Address - Street 2:SUITE 180
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025
Practice Address - Country:US
Practice Address - Phone:412-469-3600
Practice Address - Fax:412-469-3630
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA014478207RP1001X, 207RC0200X, 207RS0012X
CO44636225500000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1021828180001Medicaid
COI075Y3Medicare UPIN
CO74532022Medicaid