DR. MARK WAYNE SHELTON (NPI# 1174574214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174574214 |
| Entity Type | Individual |
| Full Name | DR. MARK WAYNE SHELTON |
| Credential | MD |
| Practice Address |
397 Wallace Rd Suite C414 Nashville TN 37211-4854 |
| Mailing Address |
397 Wallace Rd Suite C-414 Nashville TN 37211-4854 |
| Practice Telephone | 6157819499 |
| Practice Fax Number | 6157813882 |
| Mailing Telephone | 6157819499 |
| Mailing Fax Number | 6157813882 |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
024579 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3730870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548251036 | Mark Vance Shelton | Internal Medicine | 106 W Boundary Ave, Winnfield, LA 71483-2760 | 2005-11-02 |
| 1255978680 | Mark Christopher Shelton | Case Management | 1803 N Jackson St, Tullahoma, TN 37388-2201 | 2019-12-04 |
| 1699108803 | Mark Shelton | Pharmacist | 1700 2nd Ave Sw, Cullman, AL 35055-5337 | 2013-08-12 |
| 1922192780 | Mark M Shelton | Pediatrics | 1500 Cooper St, Fort Worth, TX 76104-2710 | 2006-10-03 |
| 1215947528 | Mark D Shelton | Social Worker | 26 Queen St, Social Services, Worcester, MA 01610-2473 | 2006-08-09 |
| 1770554289 | Mark Jim Shelton | Social Worker | 100 S 1000 W, Tooele, UT 84074-4010 | 2006-02-01 |
| Street Address |
397 WALLACE RD SUITE C414 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37211-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407351 | Christopher D Holloway | Family Medicine | 397 Wallace Rd, Suite 100, Nashville, TN 37211-4854 | 2005-09-13 |
| 1033569140 | Karl P. Kuhn M.d. | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2016-06-20 |
| 1992170658 | Johan Van Jaarsveld Md Pllc | Internal Medicine | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2015-12-07 |
| 1780073346 | Kimberly Anderson | Nurse Practitioner | 397 Wallace Rd, Suite 415, Nashville, TN 37211-4854 | 2015-01-20 |
| 1467882548 | Kaitlin Neary | Nurse Practitioner | 397 Wallace Rd, Suite 216c, Nashville, TN 37211-4854 | 2013-11-26 |
| 1649600107 | Advanced Foot and Ankle Care Centers | Podiatrist | 397 Wallace Rd, Bldg C Ste 411, Nashville, TN 37211-4854 | 2013-11-20 |
| 1740615657 | Tennessee Foot & Ankle Specialists PC | Podiatrist | 397 Wallace Rd, Bldg C Suite 311, Nashville, TN 37211-4854 | 2013-09-10 |
| 1831437573 | Ashleigh M Moses | Nurse Practitioner | 397 Wallace Rd, Suite407, Nashville, TN 37211-4854 | 2013-01-30 |
| 1407190853 | David A Gilpin Md Plc | Otolaryngology | 397 Wallace Rd, Suite 101, Nashville, TN 37211-4854 | 2012-11-23 |
| 1225384209 | Jamil Auvy Hossain | Podiatrist | 397 Wallace Rd, Ste. 411, Nashville, TN 37211-4854 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778566 | Results-ast Jv, LLC | Physical Therapist | 4909 Nolensville Road, Nashville, TN 37211 | 2020-10-21 |
| 1467079111 | Jennifer Rose Shin | Pharmacist | 15588 Old Hickory Blvd, Nashville, TN 37211 | 2020-06-29 |
| 1114544046 | Empoweru Therapy, LLC | Physical Therapist | 6632 Sugar Valley Dr, Nashville, TN 37211 | 2020-06-26 |
| 1023654415 | Kharis Care LLC | Registered Nurse | 4013 Travis Drive Suite 210, Nashville, TN 37211 | 2019-11-21 |
| 1568932143 | Irena Tatom | Counselor | 404 Bna Dr. Suite 110, Nashville, TN 37211 | 2018-11-27 |
| 1922590009 | Brentwood Springs Detox | Substance Abuse Rehabilitation Facility | 5935 Edmondson Pike, Nashville, TN 37211 | 2018-06-04 |
| 1912406901 | Peace By Piece Aba Therapy & Behavioral Services | Behavioral Analyst | 410 Central Pike, Suite 306, Nashville, TN 37211 | 2018-02-06 |
| 1437661980 | Sara Sanfilippo Meehan | Nurse Practitioner | 397 Wallace Rd Ste 407, Nashville, TN 37211 | 2017-10-24 |
| 1215455571 | Royal Care Transportation | Non-emergency Medical Transport (VAN) | 600 Whispering Hills Dr, Apt# L12, Nashville, TN 37211 | 2017-09-06 |
| 1659800936 | Ashley Wheeler | Behavior Technician | 2404 Rollett Ct., Nashville, TN 37211 | 2017-06-08 |
| Find all providers in zip 37211 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022039 | Jeffery Bartholomeau Dattilo | Surgery | 4230 Harding Pike Ste 525, Nashville, TN 37205-2075 | 2005-12-06 |
| 1245238971 | Terry R. Allen | Surgery | 2000 Hayes St, 1505, Nashville, TN 37203-1514 | 2005-07-07 |
| 1992196463 | Christine Jeanette (j.) Deyholos | Surgery | 1161 21st Ave S, D-5237 Medical Center North, Nashville, TN 37232-0011 | 2015-02-05 |
| 1548600877 | Mark A Benak Md Nashville PC | Surgery | 2222 State St, Suite 200 B 1, Nashville, TN 37203-1845 | 2013-07-01 |
| 1184062093 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-06-13 |
| 1104269091 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-04-10 |
| 1770851552 | Tristar Cardiovascular Surgery LLC | Surgery | 2400 Patterson St, Ste. 307, Nashville, TN 37203-1562 | 2011-12-07 |
| 1003077728 | Clayton Allen Kaiser | Surgery | 4230 Harding Pike Ste 530, Nashville, TN 37205-2094 | 2008-06-24 |
| 1902003775 | Mark W. Shelton M.d. Pllc | Surgery | 397 Wallace Rd, Ste 414, Nashville, TN 37211-4854 | 2007-06-27 |
| 1568666055 | Chandler Long | Surgery | 2601 Tvc, Nashville, TN 37232-0001 | 2007-06-11 |
| Find all providers in NASHVILLE | ||||
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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.