Provider Demographics
NPI:1073496964
Name:SHIMA, OSCAR JO YI
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:JO YI
Last Name:SHIMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PAULINE AVE
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-4943
Mailing Address - Country:US
Mailing Address - Phone:207-418-0021
Mailing Address - Fax:
Practice Address - Street 1:5 PAULINE AVE
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-4943
Practice Address - Country:US
Practice Address - Phone:207-418-0021
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility