Kerry Catherine Shum

M.D. | Pediatric Critical Care Medicine | Female

---

Complete Profile:

Kerry Catherine Shum basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Critical Care Medicine
Provider Name :	Kerry Catherine Shum
Credential :	M.D.
Gender :	Female

Business Address:

Kerry Catherine Shum address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	2100 Stantonsburg Rd Greenville, NC, 27834-2818 United States
Phone Number :	252-744-5871
Fax Number :	252-744-5759

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1396971776
NPI Entity Type :	Individual
First Enrolment Date :	30 May, 2009
Last Updated On :	14 Dec, 2020

Medicare Participation:

Kerry Catherine Shum participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7214202605
Medicare Enrollment ID :	I20171011001857
Primary Specialty :	Pediatric Medicine
Medical School :	Brody School Of Medicine At East Carolina University
Graduation Year :	2009
Accepts Medicare?	Yes. Kerry Catherine Shum accepts medicare insurance.

Group Practice Association:

Kerry Catherine Shum is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kerry Catherine Shum is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
East Carolina University	0244143246	378	2100 Stantonsburg Rd Greenville, NC - 278342818 Ph: 2522093000	Yes
East Carolina University	0244143246	378	600 Moye Blvd Greenville, NC - 278344300	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kerry Catherine Shum are as mentioned. Primary taxonomy code for Kerry Catherine Shum, M.D. is 2080P0203X (Pediatrics Pediatric Critical Care Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0203X	Pediatrics Pediatric Critical Care Medicine	Yes	2017-01856	NC

Legacy Identifiers:

Other legacy medical identifiers of Kerry Catherine Shum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
1396971776	MEDICAID	NC
19RDM	Other	NC	BCBS OF NC
NCZ189A	Other	NC	MEDICARE

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751069 Charlotte, NC, 28275-1069 United States

Business Location:

Patients can refer following map for directions to Kerry Catherine Shum practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.