Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Shumway, DO

Individual provider Family Medicine Physician · NPI 1982108650

Dr. Jonathan Shumway, DO is a Family Practice in Salem, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2018, 8 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
8
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
UT
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

555 W Sr 164
Salem, UT 84653
Phone: (801) 465-4896
Fax: (801) 465-3267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 S Main St, Fort Worth, TX 76104-4941 — (817) 702-1173

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 12244727-1204 (UT)

Record details

NPI number1982108650
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 19, 2018
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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