SHEA CLINIC (NPI# 1760447015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760447015 |
| Entity Type | Organization |
| Organization Name | SHEA CLINIC |
| Other Organization Name | SHEA CLINIC, ASC |
| Practice Address |
6133 Poplar Pike Memphis TN 38119-4707 |
| Mailing Address |
Po Box 17987 Memphis TN 38187-0987 |
| Practice Telephone | 9017619720 |
| Practice Fax Number | 9016838440 |
| Mailing Telephone | 9017619720 |
| Mailing Fax Number | 9016838440 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2010-10-21 |
| Authorized Official Name | MR. JOHN R GROSS (ADMINISTRATOR) |
| Authorized Official Telephone | 9017619720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000050 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 490000678 | 01 |
| Other Name | Type Code |
|---|---|
| Shea Clinic, ASC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427128 | Shea Clinic | Specialist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-04-18 |
| Street Address |
6133 POPLAR PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427128 | Shea Clinic | Specialist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-04-18 |
| 1679042782 | David Max Everitt | Audiologist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2018-11-19 |
| 1639419518 | Marta Christina Tetzeli | Audiologist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2013-02-28 |
| 1144516741 | Jessica Bedwell Rippy | Audiologist-Hearing Aid Fitter | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2011-06-22 |
| 1184871220 | Karen F Emmett | Audiologist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2008-08-20 |
| 1184897217 | Shea Hearing Aid Center | Hearing Aid Equipment | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2008-04-09 |
| 1043316193 | Edward E Lee | Nurse Anesthetist, Certified Registered | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-09-16 |
| 1649376716 | Edward Lee Anesthesia, PC | Nurse Anesthetist, Certified Registered | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-09-16 |
| 1497711287 | John R Emmett | Specialist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-04-21 |
| 1376508630 | Paul F Shea | Specialist | 6133 Poplar Pike, Memphis, TN 38119-4707 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619487782 | Uch Vascular Access Asc LLC | Clinic/Center | 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 | 2017-10-03 |
| 1073763652 | Lebonheur East Surgery Center II Lp | Clinic/Center | 786 Estate Place, Memphis, TN 38120 | 2008-09-19 |
| 1255465910 | Asc-tn LLC | Clinic/Center | 995 S Yates Rd Ste 1, Memphis, TN 38119-0882 | 2007-03-15 |
| 1689705055 | Jesse M Wesberry Md Psc | Clinic/Center | 2900 S Perkins Rd, Memphis, TN 38118-3237 | 2007-03-08 |
| 1023182581 | Mays & Schnapp Pain Clinic & Rehabilitation Center | Clinic/Center | 55 Humphreys Center Drive, Suite 200, Memphis, TN 38120-2366 | 2006-11-17 |
| 1275649063 | Mid-south Gastroenterology Group, Inc. | Clinic/Center | 1417 Monroe Ave, Memphis, TN 38104-3634 | 2006-08-22 |
| 1164458634 | Saint Francis Surgery Center, LLC | Clinic/Center | 5999 Park Ave, Memphis, TN 38119-5200 | 2006-06-24 |
| 1447209820 | Planned Parenthood Greater Memphis Region | Clinic/Center | 2430 Poplar Ave, Suite 100, Memphis, TN 38112-3246 | 2006-05-10 |
| 1003871104 | Memphis Surgery Center Ltd, Lp | Clinic/Center | 1044 Cresthaven Rd, Memphis, TN 38119-3832 | 2006-04-20 |
| 1750386918 | Midtown Surgery Center Lp | Clinic/Center | 255 S Pauline St, Memphis, TN 38104 | 2005-06-15 |
| Find all providers in MEMPHIS | ||||
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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.