MANSOUR V SHIRBACHEH


Address: 1708 Yakima Ave, Ste 115, Tacoma, WA 98405-5307
Phone: 2536820925

MANSOUR V SHIRBACHEH (NPI# 1831244839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831244839
Entity Type Individual
Full Name MANSOUR V SHIRBACHEH
Credential MD
Practice Address 1708 Yakima Ave
Ste 115
Tacoma
WA 98405-5307
Practice Telephone 2536820925
Practice Fax Number 2536820927
Mailing Telephone 2536820925
Mailing Fax Number 2536820927
Enumeration Date 2007-01-23
Last Update Date 2007-07-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery MD00041506 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 1708 YAKIMA AVE
STE 115
City TACOMA
State WA
Zip Code 98405-5307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598758484 Manuel Guillermo Iregui Internal Medicine 1708 Yakima Ave, Suite 300, Tacoma, WA 98405-5307 2005-08-25
1356962401 Austin Frazer Forbes Surgery 1708 Yakima Ave, Tacoma, WA 98405-5307 2020-04-29
1982146684 Sharleen Huon Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-11
1053853903 Christine Ibrahim Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-09
1598207524 Inna Vasilyev Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-08
1346782562 Shawn Hagland Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-07
1427500867 Ferowsi Pecoraro Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-11-02
1700338530 Cynthia Hinds Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-27
1114477064 Kayla Grzybowski Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
1619427515 Jessica Chung Pharmacist 1708 Yakima Ave, Suite 203, Tacoma, WA 98405-5307 2016-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023451317 Sarah Layne Crandall Plastic Surgery 5005 Main St Ste 125, Tacoma, WA 98407-3177 2013-04-17
1700100401 Thomas Judson Irish Jr. Plastic Surgery 602 North Yakima Avenue, Tacoma, WA 98403-2418 2010-03-24
1962703140 Franciscan Medical Group Plastic Surgery 6002 Westgate Blvd, Ste 160, Tacoma, WA 98406-2570 2010-11-04
1457412017 Artistic Plastic Surgery Center Pllc Plastic Surgery 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 2006-12-13
1659477610 Christopher Mead Nichols Plastic Surgery 6002 Westgate Blvd, Suite 160, Tacoma, WA 98406-2570 2006-09-16
1164443024 Artistic Plastic Surgery Center Plastic Surgery 3515 S 15th St, Suite 101, Tacoma, WA 98405-1952 2006-07-23
1437106283 Roy Alfred Semlacher Plastic Surgery 419 S L St, Tacoma, WA 98405-3799 2006-05-27
1104884956 Louis David Potyondy Plastic Surgery 801 Pacific Ave, Tacoma, WA 98402-5209 2006-05-02
1508824293 Aesthetica Clinique LLC Plastic Surgery 801 Pacific Ave, Tacoma, WA 98402-5209 2006-05-02
1922077411 Louis Edmond Walker Plastic Surgery Madigan Army Medical Center, 9040 Reid St., Attn: Mchj-qcr, Tacoma, WA 98431-0001 2006-03-16
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Competitor

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City TACOMA
Zip Code 98405

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Dataset Information

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.

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