DAVID SHIBATA (NPI# 1700892387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700892387 |
| Entity Type | Individual |
| Full Name | DAVID SHIBATA |
| Credential | MD |
| Practice Address |
1211 Union Ave Suite 300 Memphis TN 38104-6638 |
| Mailing Address |
Po Box 1000 Dept # 457 Memphis TN 38148-0457 |
| Practice Telephone | 9016093520 |
| Practice Fax Number | 9012666415 |
| Mailing Telephone | 9016093520 |
| Mailing Fax Number | 9012666415 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
53326 | TN | Allopathic & Osteopathic Physicians |
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
ME91419 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q014867 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841397973 | David Paul Shibata | Optometrist | 42201 N 41st Dr, Suite 144, Anthem, AZ 85086 | 2006-09-20 |
| Street Address |
1211 UNION AVE SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-6638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679912 | David Kenji Mcgregor | Pathology | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2005-06-14 |
| 1487008850 | Charles Theodore Fryberger IIi | Student in an Organized Health Care Education/Training Program | 1211 Union Ave, Suite 510, Memphis, TN 38104-6638 | 2016-04-21 |
| 1639537830 | Vanessa L Armenise | Nurse Practitioner | 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | 2016-02-02 |
| 1659745420 | West Clinic, P.C. | Internal Medicine | 1211 Union Ave, Memphis, TN 38104-6638 | 2015-11-17 |
| 1033595731 | Memphis Pathology Group PC | Pathology | 1211 Union Ave, Suite 875, Memphis, TN 38104-6638 | 2015-08-04 |
| 1922416361 | Aaron Greear | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1104234509 | Matthew Peterson | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1851709281 | Pritha Mony | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2014-07-29 |
| 1497163257 | Melinda Laughter Carden | Physical Therapist | 1211 Union Ave, Ste 195, Memphis, TN 38104-6638 | 2014-07-24 |
| 1083045553 | Jacquelyn Mcdonald | Physical Therapist | 1211 Union Ave, Suite 195, Memphis, TN 38104-6638 | 2013-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073036232 | Miriam Wing San Tsao | Surgery | 1211 Union Ave Suite 300, Memphis, TN 38104-3415 | 2017-07-19 |
| 1063582278 | Christine T Mroz | Surgery | 6005 Park, #700, Memphis, TN 38119-5217 | 2006-11-08 |
| 1255383386 | Nicholas J. Economides | Surgery | 6005 Park Ave Ste 700, Memphis, TN 38119-5217 | 2006-05-17 |
| 1437436797 | West Clinic PC | Surgery | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2011-11-14 |
| 1700045689 | Keli Makela Turner | Surgery | 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 | 2008-06-05 |
| 1457524209 | Ashley Allen Hendrix | Surgery | 1211 Union Ave Ste 300, Memphis, TN 38104 | 2008-04-11 |
| 1679773832 | Roy C. Page | Surgery | 3960 Knight Arnold Rd, #322, Memphis, TN 38118-3035 | 2007-07-24 |
| 1407981467 | Memphis Surgical Specialists, PC | Surgery | 3950 New Covington Pike, Suite 200, Memphis, TN 38128-2595 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053751594 | Benjamin Lewis Hechler | Surgery | 1924 Alcoa Hwy Ste 335, Knoxville, TN 37920-1511 | 2013-06-28 |
| 1952720849 | Rachel Hunter | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232 | 2014-04-08 |
| 1528319357 | West Clinic, P.C. | Surgery | 8000 Wolf River Blvd, Suite 100, Germantown, TN 38138-1754 | 2012-09-19 |
| 1265787550 | Mariana Isabel Chavez | Surgery | 356 24th Ave N Ste 400, Nashville, TN 37203 | 2012-07-23 |
| 1942584594 | West Clinic PC | Surgery | 1385 W Brierbrook Rd, Germantown, TN 38138-2208 | 2011-09-30 |
| 1003132077 | Colleen M Kiernan | Surgery | 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2010-04-15 |
| 1194958926 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2009-08-27 |
| 1144477100 | Deepa Ramakumar Magge | Surgery | Vanderbilt Ingram Cancer Center, 1301 Medical Center Drive, Nashville, TN 37232 | 2008-08-21 |
| 1053510586 | James Michael Lewis | Surgery | 1934 Alcoa Hwy, Suite 476, Knoxville, TN 37920 | 2007-07-14 |
| 1710185921 | University Health System, Inc | Surgery | 1926 Alcoa Hwy, Ste 410, Knoxville, TN 37920-1512 | 2007-07-10 |
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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.