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MAYNARD A. SHUMWAY PA-C
NPI 1205860798
Physician Assistant - Surgical in Utica, NY

Active since July 10, 2006
110 LOMOND CT, UTICA, NY 13502(315) 292-1264(315) 266-0385 Get Directions Write a Review

NPPES record last updated: July 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maynard A. Shumway Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYNARD A. SHUMWAY PA-C (NPI 1205860798) is an individual surgical provider in Utica, New York, licensed in New York (001412) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205860798
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMAYNARD A. SHUMWAYCredential: PA-C
Location Address110 LOMOND CTUtica, NY 13502-5950
Mailing Address601 Gates Rd, Ste 3Vestal, NY 13850 · (607) 584-7385 · Fax (607) 772-1223
Phone(315) 292-1264
Fax(315) 266-0385
Sole ProprietorNo
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 23, 2014
✔ NPI 1205860798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 001412
110 LOMOND CT, Utica, NY 13502
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Other Identifiers 2

Medicaid03324334NY
Medicare PINJ400037464NY

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%64 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KURT C FOXTON MD
Anesthesiology
110 LOMOND CT
UTICA, NY 13502
Oneida County (315) 292-1264
DR. HAMID MOOSAVI M.D.
Ophthalmology
110 LOMOND CT
UTICA, NY 13502
Oneida County (315) 732-3665

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maynard Shumway's NPI number?

The NPI number for Maynard Shumway is 1205860798. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Maynard Shumway located?

Maynard Shumway practices at 110 Lomond Ct, Utica, NY 13502. The listed phone number is (315) 292-1264.

What is Maynard Shumway's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Maynard Shumway was last updated on July 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.