DR. EDWIN HAYWOOD SHUCK III (NPI# 1912957739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957739 |
| Entity Type | Individual |
| Full Name | DR. EDWIN HAYWOOD SHUCK III |
| Credential | MD |
| Practice Address |
2341 Mccallie Ave Plaza 3 Suite 305 Chattanooga TN 37404-3239 |
| Mailing Address |
274 Frontier Bluff Rd Lookout Mountain GA 30750-4160 |
| Practice Telephone | 4236222721 |
| Mailing Telephone | 7068200519 |
| Mailing Fax Number | 7068208228 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 11816 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 020051840 | 01 |
| TN | BLUECROSS | 0053980 | 01 |
| Street Address |
2341 MCCALLIE AVE PLAZA 3 SUITE 305 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37404-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238961 | Syed Farhan Mahmood Rizvi | Internal Medicine | 2341 Mccallie Ave, Plaza 3, Suite 403, Chattanooga, TN 37404-3239 | 2005-10-07 |
| 1831723097 | Sara Hammon Gonser | Registered Nurse | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 | 2020-02-26 |
| 1679934566 | Tammy R Hibbs | Nurse Practitioner | 2341 Mccallie Ave, Suite 400, Chattanooga, TN 37404-3239 | 2016-03-18 |
| 1104293828 | Katherine Mccahill | Nurse Anesthetist, Certified Registered | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2015-08-28 |
| 1073918314 | Brandon Peters | Registered Nurse | 2341 Mccallie Ave, Chattanooga, TN 37404-3239 | 2014-10-29 |
| 1275940074 | James Brogan | Registered Nurse | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2014-07-14 |
| 1124433560 | Carolyn Heithold | Registered Nurse | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2014-06-24 |
| 1053725853 | Benjamin Corby Whatley | Nurse Anesthetist, Certified Registered | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2014-06-19 |
| 1376961268 | Zachary T Ballard | Registered Nurse | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2014-03-29 |
| 1447678396 | Lindy Starling Case | Registered Nurse | 2341 Mccallie Ave, Suite 402, Chattanooga, TN 37404-3239 | 2014-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306494216 | Cynthia Caffey | Technician | 1305 E. 28th St. Apt A, Chatta, TN 37404 | 2019-09-04 |
| 1851944482 | Stacey Stokes | Peer Specialist | 1413 Bailey Ave, Chattanooga, TN 37404 | 2019-07-23 |
| 1306354790 | Erlanger Behavioral Health, LLC | Psychiatric Hospital | 804 North Holtzclaw Avenue, Chattanooga, TN 37404 | 2018-01-19 |
| 1245746171 | Davis Supportive Living Home Inc. | Custodial Care Facility | 1106 Duncan Avenue, Chattanooga, TN 37404 | 2017-12-14 |
| 1124544762 | Rachael Anne Maciver | Nurse Practitioner | 1909 South Willow Street, Chattanooga, TN 37404 | 2017-08-15 |
| 1447796214 | Esli Castillo | Nurse Practitioner | 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 | 2017-01-17 |
| 1922542158 | Natasha Elliott | Community Health Worker | 2804 Cannon Ave, Chattanooga, TN 37404 | 2016-12-07 |
| 1730630153 | Jonathan Easter | Taxi | 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 | 2016-10-20 |
| 1477946143 | Thomas Jereme Holcomb | Nurse Practitioner | 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 | 2015-03-05 |
| 1922426709 | Sarah Mccary Baker | Internal Medicine | 605 Glenwood Drive, Suite 300, Chattanooga Internal Medicine Group, Chattanooga, TN 37404 | 2014-03-31 |
| Find all providers in zip 37404 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043653900 | Glendon Alan Hyde | Colon & Rectal Surgery | 960 East Third Street, Suite 104, Chattanooga, TN 37403 | 2013-04-10 |
| 1083882336 | Colon & Rectal Surgery Associates Pa | Colon & Rectal Surgery | 2341 Mccallie Ave, Plaza 3 Suite 305, Chattanooga, TN 37404-3239 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169547 | Raymond Jude Staniunas | Colon & Rectal Surgery | 6029 Walnut Grove Rd Ste 210, Memphis, TN 38120-2112 | 2006-03-27 |
| 1477966687 | Saint Francis Medical Partners, General Surgery, L.L.C. | Colon & Rectal Surgery | 6029 Walnut Grove Rd, Ste. 404, Memphis, TN 38120-2112 | 2014-06-05 |
| 1164749255 | Nathan Michael Hinkle | Colon & Rectal Surgery | 1211 Union Ave Ste 300, Memphis, TN 38104 | 2010-04-28 |
| 1497924666 | Colon & Rectal Surgery of Knoxville | Colon & Rectal Surgery | 1930 Alcoa Hwy, Ste 240, Knoxville, TN 37920-1500 | 2008-02-21 |
| 1225226327 | Jason D Aston | Colon & Rectal Surgery | 345 23rd Ave N, Suite 300, Nashville, TN 37203-1513 | 2007-10-15 |
| 1013073725 | Abner Michael Glover | Colon & Rectal Surgery | 501 20th St, Suite 501, Knoxville, TN 37916-1809 | 2006-12-28 |
| 1992886899 | East Tennessee Colon & Rectal Surgical Associates PC | Colon & Rectal Surgery | 10810 Parkside Dr Ste 201, Knoxville, TN 37934-1983 | 2006-10-18 |
| 1396826368 | Jay Alger Young | Colon & Rectal Surgery | 10810 Parkside Dr Ste 201, Knoxville, TN 37934-1983 | 2006-10-18 |
| 1093895393 | James William Baker | Colon & Rectal Surgery | 10810 Parkside Dr, Suite G12, Knoxville, TN 37934-1979 | 2006-10-17 |
| 1346341963 | Richard A Howerton | Colon & Rectal Surgery | 345 23rd Ave N, Suite 300, Nashville, TN 37203-1513 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
| City | CHATTANOOGA |
| Zip Code | 37404 |
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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.