DR. SUPARNA TUMKUR SHIVASHANKARA (NPI# 1801236161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801236161 |
| Entity Type | Individual |
| Full Name | DR. SUPARNA TUMKUR SHIVASHANKARA |
| Credential | M.D. |
| Practice Address |
3400 Lebanon Rd Murfreesboro TN 37129 |
| Mailing Address |
3400 Lebanon Rd Bldg 9 Murfreesboro TN 37129-1393 |
| Practice Telephone | 6158676000 |
| Mailing Telephone | 6152253920 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
125064170 | IL | Allopathic & Osteopathic Physicians |
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
57813 | TN | Allopathic & Osteopathic Physicians |
| N | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
078408 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 Executive Park Dr Ne Fl 3, Atlanta, GA 303292206 | (404) 712-6934 | |
| 221 Ne Glen Oak Ave, 7 West, Peoria, IL 616360001 | 3096725522 |
| Street Address |
3400 LEBANON RD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587677 | Vandana P Chowbey | Internal Medicine | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2005-06-08 |
| 1013518307 | Sheila Rosenfeld | Nurse Practitioner | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-11-04 |
| 1770193617 | Erin Merkel | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-08-05 |
| 1679105100 | Scott Allan Vink | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2020-02-12 |
| 1942847710 | Summer Crouch | Dietitian, Registered | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-11-29 |
| 1124677281 | Nikkina Hankins, Rph, Pharmd | Pharmacist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-09-10 |
| 1467000158 | Brennan Barlow | Kinesiotherapist | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-08-27 |
| 1760043533 | Dawn Michelle Brady | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-06-24 |
| 1871159806 | Keia L Suttle | Social Worker | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-15 |
| 1871158360 | Gwendolyn R Mcchristian | Physical Therapy Assistant | 3400 Lebanon Rd, Murfreesboro, TN 37129-1392 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679795074 | Jesse Emmett Dozier | Psychiatry & Neurology | 215 Centerview Dr, Suite 204, Brentwood, TN 37027-5246 | 2007-05-03 |
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.