CLAUDE EDWARD SHACKELFORD (NPI# 1942245683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942245683 |
| Entity Type | Individual |
| Full Name | CLAUDE EDWARD SHACKELFORD |
| Credential | MD |
| Practice Address |
3098 Campbell Station Pkwy Spring Hill TN 37174-6270 |
| Practice Telephone | 6153021111 |
| Mailing Telephone | 6153021111 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 37507 | TN | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 37507 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3885771 | 05 | |
| TN | BLUE CROSS | 4088605 | 01 |
| TN | MISSISSIPPI BLUE CROSS | 3885771 | 01 |
| TN | BCBST | 4062023 | 01 |
| TN | 3710089 | 05 | |
| TN | 3885778 | 05 | |
| TN | 3718641 | 05 |
| Street Address |
3098 CAMPBELL STATION PKWY |
| City | SPRING HILL |
| State | TN |
| Zip Code | 37174-6270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801866686 | Martha Ellen Shepherd | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-01-25 |
| 1386188530 | Independent Physical Therapy | Occupational Therapist | 3098 Campbell Station Pkwy, 101, Spring Hill, TN 37174-6270 | 2016-12-07 |
| 1871966291 | Kelly Hinkle Taylor | Nurse Practitioner | 3098 Campbell Station Pkwy, A201, Spring Hill, TN 37174-6270 | 2015-11-06 |
| 1265616494 | Candice E Lewis | Registered Nurse | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2007-12-24 |
| 1053519678 | Sullivan Asthma and Allergy Care PC | Allergy & Immunology | 3098 Campbell Station Pkwy, Suite A202, Spring Hill, TN 37174 | 2007-07-05 |
| 1871614370 | Keren Marie Holmes | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2007-04-02 |
| 1467511642 | Dolphus Carl Jackson | Dentist | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-12-06 |
| 1356304984 | Mary R. Mcbean | Family Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132102 | Results-ast Jv, LLC | Physical Therapist | 5073 Main Street, Suite 120, Spring Hill, TN 37174 | 2020-10-21 |
| 1275195356 | Nicholas Arthur Kaiser | Dentist | 1060 Crossings Circle, Spring Hill, TN 37174 | 2019-06-28 |
| 1104487073 | Homa Mirzai | Dentist | 4816 Main St Ste A, Spring Hill, TN 37174 | 2019-06-21 |
| 1336610757 | Fresenius Medical Care Columbia Franklin, LLC | Clinic/Center | 8048 Station Hill Drive, Spring Hill, TN 37174 | 2018-12-11 |
| 1902385792 | Spring Hill Modern Dentistry, PC | Dentist | 4883 Main St., Spring Hill, TN 37174 | 2018-08-13 |
| 1427534130 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 4816 Main St, Ste A, Spring Hill, TN 37174 | 2018-07-16 |
| 1093202301 | Yoruba Sheree Duffie | Speech-Language Pathologist | 1001 Mccutcheon Creek Lane, Spring Hill, TN 37174 | 2018-04-23 |
| 1508362534 | Daily Dental Dds PC | Dentist | 2090 Wall St, Spring Hill, TN 37174 | 2018-03-30 |
| 1750800900 | Daily Dental Spring Hill, A Series of Daily Dental LLC | Dentist | 2090 Wall Street, Spring Hill, TN 37174 | 2017-09-19 |
| 1649798299 | Megan Warren | Registered Nurse | 7004 Nickalus Way, Spring Hill, TN 37174 | 2017-09-05 |
| Find all providers in zip 37174 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720551047 | Matrix Health Options, LLC. | Family Medicine | 5258 Applegate Dr, Spring Hill, FL 34606-4507 | 2019-01-09 |
| 1114402351 | Florida Wellness Injury Center | Family Medicine | 2412 Commercial Way, Spring Hill, FL 34606-3518 | 2018-10-02 |
| 1033560941 | David Frankel | Family Medicine | 8425 Northcliffe Blvd Ste 110, Spring Hill, FL 34606-1107 | 2016-06-22 |
| 1639551369 | Christiana Bediako | Family Medicine | 1609 Zurich Dr, Spring Hill, TN 37174-7181 | 2015-06-18 |
| 1487067963 | Sean Cannady | Family Medicine | 5421 Main St Ste 1, Spring Hill, TN 37174-4411 | 2014-06-03 |
| 1053722009 | Lauren Michele Dedea | Family Medicine | 8425 Northcliffe Blvd Ste 111&109, Spring Hill, FL 34606-1107 | 2014-05-13 |
| 1740545292 | Daisy Saavedra Rodriguez | Family Medicine | 8425 Northcliffe Blvd Ste 105, Spring Hill, FL 34606-1107 | 2012-07-11 |
| 1962635144 | Proactive Care Medical Group Pa | Family Medicine | 5196 Mariner Boulevard, Spring Hill, FL 34609-1802 | 2009-09-03 |
| 1265669238 | Jeremy L Tharp | Family Medicine | 120 Medical Blvd Ste 102, Spring Hill, FL 34609-0221 | 2009-06-17 |
| 1912133257 | Laura R Shea | Family Medicine | 8425 Northcliffe Blvd Ste 111, Spring Hill, FL 34606-1107 | 2009-06-01 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 37174 |
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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.