DR. COLLEEN NOBUKO SHIMAZU (NPI# 1427043801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427043801 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN NOBUKO SHIMAZU |
| Credential | MD |
| Practice Address |
653 Morganton Square Dr Maryville TN 37801-4763 |
| Mailing Address |
6701 Baum Dr Suite 140 Knoxville TN 37919-7360 |
| Practice Telephone | 8655848588 |
| Practice Fax Number | 8655843364 |
| Mailing Telephone | 8655845727 |
| Mailing Fax Number | 8654509904 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2016-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD33887 | TN | Other Service Providers |
| Y | 207N00000X | Dermatology | 33887 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
653 MORGANTON SQUARE DR |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37801-4763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922260314 | Allergy Associates Pa | Specialist | 653 Morganton Square Dr, Maryville, TN 37801-4763 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912536582 | Andrea Waldrop | Pharmacist | 103 Foothills Mall Drive, Maryville, TN 37801 | 2020-04-06 |
| 1134664147 | Complete Vision Care Pllc | Optometrist | 2410 Us Hwy 411 S, Maryville, TN 37801 | 2016-12-29 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1245465483 | Respiratory Home Care of Bristol, LLC | Durable Medical Equipment & Medical Supplies | 637 Morganton Square Dr, Maryville, TN 37801 | 2009-05-18 |
| 1063682383 | William R Pedersen | Optometrist | 730 West Lamar Alexander Pkwy, Maryville, TN 37801 | 2008-03-03 |
| 1124218573 | Liberty Assisted Living LLC | Assisted Living Facility | 312 Mcmaster Pl, Liberty Assisted Living LLC, Maryville, TN 37801 | 2007-07-31 |
| 1447467493 | Amanda G Clement | Nurse Practitioner | 1427 William Blount Drive, Maryville, TN 37801 | 2007-05-17 |
| 1396873758 | David T Cope | Audiologist | 821 Ross Drive, Maryville, TN 37801 | 2007-02-28 |
| 1649345406 | Adult & Family Dentistry, Inc. | Dentist | 1740 Big Springs Rd, Maryville, TN 37801 | 2006-11-21 |
| 1225109523 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 330 Southdowne Dr, Maryville, TN 37801 | 2006-11-10 |
| Find all providers in zip 37801 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235334475 | Patrick H Burkhart Md | Dermatology | 1702 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2007-06-18 |
| 1033121157 | Advanced Dermatology of East Tennessee, P.C. | Dermatology | 615 Smithview Dr, Maryville, TN 37803-6100 | 2006-08-13 |
| 1699710194 | Blount Memorial Physician Group, Inc. | Dermatology | 458 Bmh Physician Office Bldg., Maryville, TN 37804 | 2006-06-18 |
| 1992763353 | Charles Dobbin Connor | Dermatology | 22 Professional Park Dr, Maryville, IL 62062-5669 | 2006-05-03 |
| 1275521676 | Patrick Henry Burkhart | Dermatology | 1702 E Lamar Alex Pkwy, Maryville, TN 37804-6204 | 2005-10-10 |
| 1619271939 | Dermatology Care Center, Ltd. | Dermatology | 22 Professional Park Dr, Maryville, IL 62062-5669 | 2010-12-29 |
| 1497767529 | Lewis David Slawsky | Dermatology | 615 Smithview Dr, Maryville, TN 37803-6100 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964274 | Harpeth Valley Dermatology Pllc | Dermatology | 741 President Pl Ste 140, Smyrna, TN 37167-6808 | 2020-05-27 |
| 1538717202 | Christopher Reeder | Dermatology | 6453 Drumright Rd, College Grove, TN 37046-9142 | 2019-08-27 |
| 1346719085 | Skinmd Center Pllc | Dermatology | 751 Walnut Knoll Lane, Suite 2, Cordova, TN 38018-6301 | 2018-11-23 |
| 1467968859 | Outreach Clinics Unlimited Pllc | Dermatology | 1627 Old Gray Station Rd Ste 4, Johnson City, TN 37615-4193 | 2017-12-20 |
| 1295289114 | Firstcare Dermatology of Lawrenceburg, Pllc | Dermatology | 1002 N Locust Ave, Lawrenceburg, TN 38464-2707 | 2016-08-09 |
| 1790158012 | Joseph Prohaska | Dermatology | 1907 W Morris Blvd Ste G, Morristown, TN 37813-3866 | 2015-11-09 |
| 1346637048 | Jonathan Allen Miller | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2015-04-20 |
| 1073909156 | Neelam Patel | Dermatology | 470 Jones Rd, Clarksville, TN 37043-4005 | 2015-04-15 |
| 1013315373 | Robert J Kaplan, Md Pllc | Dermatology | 6401 Poplar Ave Ste 330, Memphis, TN 38119-4806 | 2014-12-18 |
| 1538575709 | Emily Dell | Dermatology | 1009 N State of Franklin Rd, Johnson City, TN 37604 | 2014-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.