DAVID D SHUPE MD
NPI 1306819115
Family Medicine in Moscow, ID

Active since February 10, 2006
623 S MAIN ST, MOSCOW, ID 83843(208) 882-2011(208) 883-1853 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David D Shupe Md NPPES

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

DAVID D SHUPE MD (NPI 1306819115) is an individual family medicine provider in Moscow, Idaho, licensed in Idaho (M4366) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1306819115
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID D SHUPECredential: MD
Location Address623 S MAIN STMoscow, ID 83843-2983
Mailing Address623 S Main StMoscow, ID 83843-2983 · (208) 882-2011 · Fax (208) 883-1853
Fax(208) 883-1853
Sole ProprietorNo
Enumeration DateFebruary 10, 2006
Last NPPES UpdateOctober 4, 2007
NPI 1306819115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ID · M4366
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

623 S MAIN ST, Moscow, ID 83843

Other Identifiers 2

Medicare ID-Type Unspecified1114741
Medicare UPINB63529

Other Providers at the Same Location NPPES 8

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

Family Medicine
623 S MAIN ST
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST
MOSCOW, ID 83843
623 S MAIN ST, SUITE 6
MOSCOW, ID 83843
Emergency Medicine
623 S MAIN ST
MOSCOW, ID 83843
Physician Assistant
623 S MAIN ST
MOSCOW, ID 83843
Nurse Practitioner (Family)
623 S MAIN ST
MOSCOW, ID 83843
Family Medicine
623 S MAIN ST
MOSCOW, ID 83843

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 David Shupe's NPI number?

The NPI number for David Shupe is 1306819115. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is David Shupe located?

David Shupe practices at 623 S Main St, Moscow, ID 83843. The listed phone number is (208) 882-2011.

What is David Shupe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for David Shupe was last updated on October 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.