SHIRIN SHAHBAZI (NPI# 1457460784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457460784 |
| Entity Type | Individual |
| Full Name | SHIRIN SHAHBAZI |
| Credential | MD |
| Practice Address |
930 E Emerald Ave Suite 713 Knoxville TN 37917-4539 |
| Practice Telephone | 8655441345 |
| Practice Fax Number | 8655441344 |
| Mailing Telephone | 8655441345 |
| Mailing Fax Number | 8655441344 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2012-09-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 18935 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3731585 | 05 |
| Street Address |
930 E EMERALD AVE SUITE 713 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917-4539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285628727 | William N Williford | Ophthalmology | 930 E Emerald Ave, Suite 510, Knoxville, TN 37917-4539 | 2005-09-09 |
| 1265970057 | Michelle Outlaw | Nurse Practitioner | 930 E Emerald Ave, Suite 511, Knoxville, TN 37917-4539 | 2017-02-01 |
| 1710253745 | Barry D. Frame, Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 930 E Emerald Ave, 719, Knoxville, TN 37917-4539 | 2012-03-23 |
| 1942525704 | Douglas Lee Stofko | Neurological Surgery | 930 E Emerald Ave, Suite 511, Knoxville, TN 37917-4539 | 2010-04-05 |
| 1245438605 | Mary Es Beaver Md Pllc | Otolaryngology | 930 E Emerald Ave, Suite 720, Knoxville, TN 37917-4539 | 2007-07-06 |
| 1841411204 | Neurosurgery Clinic of Knoxville, Pllc | Neurological Surgery | 930 E Emerald Ave, Suite 611, Knoxville, TN 37917-4539 | 2007-05-02 |
| 1154546927 | J. Caroline Haney-weaver, M.d. | Obstetrics & Gynecology | 930 E Emerald Ave, Suite 612, Knoxville, TN 37917-4539 | 2007-04-16 |
| 1306962683 | Hartline & Shahbazi Gynecology, Pllc | Clinic/Center | 930 E Emerald Ave, Ste 713, Knoxville, TN 37917-4539 | 2007-03-21 |
| 1134214927 | Barry Dean Frame | Specialist | 930 E Emerald Ave, Suite 719, Knoxville, TN 37917-4539 | 2006-10-04 |
| 1114954641 | Douglas H Luttrell | Nurse Practitioner | 930 E Emerald Ave, Ste 813, Knoxville, TN 37917-4539 | 2006-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942437181 | Michael Robert Polin | Obstetrics & Gynecology | 1930 Alcoa Hwy Ste A235, Knoxville, TN 37920-1510 | 2009-06-15 |
| 1821225327 | Kevin Charles Visconti | Obstetrics & Gynecology | 1930 Alcoa Highway, Building A Suite 435, Knoxville, TN 37920 | 2009-06-11 |
| 1992846786 | Women's Health Partners of East Tennessee PC | Obstetrics & Gynecology | 9330 Park West Blvd Ste 300, Knoxville, TN 37923-4311 | 2007-02-12 |
| 1730268855 | Kimberly H Roberts | Obstetrics & Gynecology | 100310 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-11-02 |
| 1780767640 | Ceeccy Yang | Obstetrics & Gynecology | 10031 Sherrill Blvd, Knoxville, TN 37932-3336 | 2006-10-23 |
| 1588745251 | Jerry Earl Sanders | Obstetrics & Gynecology | 1600 Agawela Ave, Knoxville, TN 37919-8319 | 2006-10-18 |
| 1912017831 | Laurel Ob Gyn Assoc Pa | Obstetrics & Gynecology | 2001 Laurel Ave #404, Knoxville, TN 37916 | 2006-08-30 |
| 1407962558 | Tammy Ewayne Baker | Obstetrics & Gynecology | 2013 Highland Avenue, Knoxville, TN 37916 | 2006-08-22 |
| 1720023708 | Heather Katherine Moss | Obstetrics & Gynecology | 4005 Fountain Valley Dr, Suite 450, Knoxville, TN 37918-5327 | 2006-06-17 |
| 1730133851 | Christine Linda Gale | Obstetrics & Gynecology | 2100 Clinch Ave Ste 130, Knoxville, TN 37916-2224 | 2006-05-22 |
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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.