MR. SHAWN R. GETOLA (NPI# 1669458345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669458345 |
| Entity Type | Individual |
| Full Name | MR. SHAWN R. GETOLA |
| Credential | HS / AMS |
| Practice Address |
2 Auction Ave Memphis TN 38105-1502 |
| Practice Telephone | 9015443912 |
| Practice Fax Number | 9015443915 |
| Mailing Telephone | 9015443912 |
| Mailing Fax Number | 9015443915 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers | ||
| X | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
2 AUCTION AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104802875 | Mark Richard Gyenes | Emergency Medical Technician, Basic | 2 Auction Ave, Memphis, TN 38105-1502 | 2005-12-15 |
| 1063544211 | Jonathan Scott Allen | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063544211 | Jonathan Scott Allen | Military Health Care Provider | 2 Auction Ave, Memphis, TN 38105-1502 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710292172 | Larry L Lacefield | Military Health Care Provider | 5528 Maple Landing Dr, Arlington, TN 38002-7031 | 2010-08-10 |
| 1295059491 | William Lee Mark Stone | Military Health Care Provider | 5722 Integrity Dr Bldg S-771, Millington, TN 38054-5028 | 2010-03-17 |
| 1487746236 | Robert Dennis Preston Jr. | Military Health Care Provider | Brach Medical Clinic, Naval Support Activity Mid-south, Millington, TN 38054 | 2006-09-29 |
| 1336195080 | Michael James Young | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38054-5028 | 2006-05-25 |
| 1316915333 | Charles Barry Collier | Military Health Care Provider | Branch Medical Clinic, Nsa Mid South, 5722 Integrity Dr Bldg, Millington, TN 38054 | 2006-03-08 |
| 1730367020 | Alexander Joseph Mabile IIi | Military Health Care Provider | 5722 Integrity Dr, Navmac, Millington, TN 38054-5028 | 2008-02-08 |
| 1821284894 | Tonya Victoria Jones | Military Health Care Provider | 5720 Integrity Dr, Millington, TN 38055-4070 | 2007-09-24 |
| 1902000805 | Perry Michael Miller | Military Health Care Provider | 569 Skyline Dr, Jackson, TN 38301-3911 | 2007-06-13 |
| 1316049281 | Benjamin A B Heverly | Military Health Care Provider | 5722 Integrity Dr, Millington, TN 38054-5028 | 2006-09-02 |
| 1356311518 | Michael F Ballard | Military Health Care Provider | 5722 Integrity Dr, Bldg S771, Millington, TN 38054-5028 | 2006-01-23 |
| 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.