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

Grover Gene Shipman, MD

Individual provider Emergency Medicine Physician · NPI 1104929017

Grover Gene Shipman, MD is an Emergency Medicine Physician in Mount Shasta, California. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

914 Pine St
Mount Shasta, CA 96067-2143
Phone: (530) 926-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD25595 (OR)

Record details

NPI number1104929017
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 6, 2006
Last updated in NPPESJuly 2, 2008
Mailing addressP.O. Box 12259, Westminster, CA 92685-2259

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