David Shibata, MD | |
1211 Union Ave, Suite 300, Memphis, TN 38104-6638 | |
(901) 609-3520 | |
(901) 266-6415 |
Full Name | David Shibata |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 33 Years |
Location | 1211 Union Ave, Memphis, Tennessee |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700892387 | NPI | - | NPPES |
Q014867 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | ME91419 (Florida) | Secondary |
2086X0206X | Surgery - Surgical Oncology | 53326 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional One Health | Memphis, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ut Regional One Physicians Inc | 5698993418 | 277 |
Entity Name | Ut Regional One Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093130585 PECOS PAC ID: 5698993418 Enrollment ID: O20140820000662 |
Mailing Address | Practice Location Address |
---|---|
David Shibata, MD Po Box 1000, Dept # 457, Memphis, TN 38148-0457 Ph: (901) 609-3520 | David Shibata, MD 1211 Union Ave, Suite 300, Memphis, TN 38104-6638 Ph: (901) 609-3520 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
Dr. Albert Joseph Grobmyer Iii, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3175 Lenox Park Blvd, Suite 309, Memphis, TN 38115 Phone: 901-273-2600 Fax: 901-761-3786 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 |