DR. BRIAN CHARLES SHIRO (NPI# 1093703175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093703175 |
| Entity Type | Individual |
| Full Name | DR. BRIAN CHARLES SHIRO |
| Credential | MD |
| Practice Address |
1915 S 17th St Suite 100 Wilmington NC 28401-6681 |
| Mailing Address |
Po Box 20169 Roanoke VA 24018-0506 |
| Practice Telephone | 9103629511 |
| Mailing Telephone | 5407672700 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2008-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
30859 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 220012149 | 01 | |
| SC | Q30859 | 05 | |
| NC | BCBS OF NC | 75966 | 01 |
| NC | 8975966 | 05 |
| Street Address |
1915 S 17TH ST SUITE 100 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-6681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356777643 | Live Oak Ophthalmology, PC | Ophthalmology | 1915 S 17th St, Suite 101, Wilmington, NC 28401-6681 | 2013-09-19 |
| 1780864280 | Wilmington Pathology Laboratory Inc | Clinical Medical Laboratory | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6683 | 2007-11-13 |
| 1356385843 | Wilmington Pathology Associates Pa | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6626 | 2006-06-15 |
| 1831158757 | Nextwave Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6626 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1386632271 | Maria Angela Dizon | Pathology | 701 N Clayton St Ste 301, Wilmington, DE 19805-3165 | 2005-10-13 |
| 1760600738 | Kudakwashe R. Chikwava | Pathology | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2007-04-23 |
| 1336262088 | Regina Schmidt Meara | Pathology | 701 N Clayton St, Wilmington, DE 19805 | 2007-04-09 |
| 1275659641 | Gowd Shiva Nagaraj | Pathology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-03-21 |
| 1861537664 | Warren C White | Pathology | 2606 Iron Gate Dr, Suite 201, Wilmington, NC 28412-2573 | 2007-02-20 |
| 1275699696 | Michael Delacruz | Pathology | 701 N Clayton St, Suite 301, Medical Services Building, Wilmington, DE 19805 | 2006-12-29 |
| 1710097092 | Valentina Markovsky | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-08-30 |
| 1982616496 | Bruce Zangwill | Pathology | 1601 Kirkwood Hwy, Wilmington, DE 19805-4917 | 2006-08-13 |
| 1356385843 | Wilmington Pathology Associates Pa | Pathology | 1915 S 17th St, Suite 100, Wilmington, NC 28401-6626 | 2006-06-15 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
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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.