SHIBUMI, LLC (NPI# 1508048943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508048943 |
| Entity Type | Organization |
| Organization Name | SHIBUMI, LLC |
| Practice Address |
310 Straight St Cincinnati OH 45219-1019 |
| Mailing Address |
908 Worth St Covington KY 41011-2064 |
| Practice Telephone | 5135592777 |
| Mailing Telephone | 5133134060 |
| Mailing Fax Number | 5135585203 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | DR. RANDELL K WOLF (OWNER) |
| Authorized Official Telephone | 5133134060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 35051891 | OH | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Shibumi, LLC | 31 Elk Horn Lane, Breckenridge, CO 80424 |
| Street Address |
310 STRAIGHT ST |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205348307 | Antonio Panza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Department of Surgery 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-10-30 |
| 1760872659 | John Albers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 16 Diplomat Dr, Cincinnati, OH 45215-2073 | 2015-01-29 |
| 1952633505 | George Melancthon Callard | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2345 Bedford Ave, Cincinnati, OH 45208-2656 | 2010-02-08 |
| 1720217870 | David Glenn Lehenbauer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 Burnet Ave., Ml 2004, Cincinnati, OH 45229 | 2009-07-10 |
| 1710128749 | Robert Mauro Van Haren | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 222 Piedmont Ave # Surgery, Cincinnati, OH 45219 | 2009-03-21 |
| 1205892254 | Saeed Esmaili | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7029 Beech Hollow Dr, Cincinnati, OH 45236-1470 | 2006-04-26 |
| 1356334692 | Louis A Brunsting IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10496 Montgomery Rd Ste 104, Cincinnati, OH 45242 | 2005-08-23 |
| 1356347934 | Richard S. Glaser | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10496 Montgomery Rd, Suite 101, Cincinnati, OH 45242-5223 | 2005-06-28 |
| 1215930532 | Hezekiah G.p. Shani | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3120 Burnet Ave, Ste 401, Cincinnati, OH 45229-3092 | 2005-05-31 |
| 1518573419 | David Scott Winlaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-17 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.