Individual ProviderJunichi ShimamuraSurgeryAllopathic & Osteopathic PhysiciansPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-8381(678) 920-4471PECOS EnrollmentBased on the most recent information from CMS, provider Junichi Shimamura is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:14 PM.Profile DetailsProvider ID1962109702Provider TypeIndividualFull NameShimamura, JunichiTitleMr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date2/13/2023Last Updated8/21/2023Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-8381FaxUnlisted FaxMailing LocationMailing Address1767 North Decatur Rd NE, University Inn At Emory Unit 410, Atlanta, GA 30307Phone(678) 920-4471FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense324555New York