DR. SHINPEI SHIBATA


Address: 707 Sw Gaines St, Mail Code: Cdrcp, Portland, OR 97239-2901
Phone: 5034941544

DR. SHINPEI SHIBATA (NPI# 1609179639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609179639
Entity Type Individual
Full Name DR. SHINPEI SHIBATA
Credential M.D.
Practice Address 707 Sw Gaines St
Mail Code: Cdrcp
Portland
OR 97239-2901
Mailing Address 1200 Nw Marshall St
Ste 4340
Portland
OR 97209-3165
Practice Telephone 5034941544
Enumeration Date 2010-12-14
Last Update Date 2011-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
154527 OR Allopathic & Osteopathic Physicians
N 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
21500017 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 707 SW GAINES ST
MAIL CODE: CDRCP
City PORTLAND
State OR
Zip Code 97239-2901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184613960 Laurie Armsby Pediatrics 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 2005-10-14
1851904759 Debra Crawford Physical Therapist 707 Sw Gaines St, Portland, OR 97239-2901 2020-08-28
1437761574 Lauren Nicole Beckett Speech-Language Pathologist 707 Sw Gaines St, Portland, OR 97239-2901 2020-08-19
1720699739 Rachel Kirsten Greene Psychologist 707 Sw Gaines St, Portland, OR 97239-2901 2020-08-13
1356970008 Emily Knell Spaeth Physical Therapist 707 Sw Gaines St, Portland, OR 97239-2901 2020-04-05
1720617798 Paula Tran Occupational Therapist 707 Sw Gaines St, Portland, OR 97239-2901 2020-04-02
1760038111 Natalie Alexandra Galvan Speech-Language Pathologist 707 Sw Gaines St, Portland, OR 97239-2901 2019-08-12
1932752466 Janvi S. Patel Occupational Therapist 707 Sw Gaines St, Portland, OR 97239-2901 2019-07-23
1033761119 Danielle Moyer Psychologist 707 Sw Gaines St, Portland, OR 97239-2901 2019-07-10
1790268779 Lily Gullion Occupational Therapist 707 Sw Gaines St, Portland, OR 97239-2901 2018-09-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1881219657 Desiree Baer Licensed Vocational Nurse Sw Us Veterans Hospital Rd, Portland, OR 97239 2020-06-08
1285266205 Melissa Irene Wheeler Registered Nurse Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 2020-02-07
1225687981 Pheba Mariam Jones Pharmacist Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 2019-09-05
1801448063 Alice Huang Huang Student in an Organized Health Care Education/Training Program 3710 Sw Veterans Road, Portland, OR 97239 2019-07-09
1710446273 Ellen Noreen Kessi Social Worker 3710 Sw Us Veterans Rd., Portland, OR 97239 2019-03-14
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
1275030926 Carly Elizabeth Dougher Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 2018-04-10
1780188094 Dennis John Samuel Student in an Organized Health Care Education/Training Program Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 2018-03-21
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Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093294654 Elva Linda Pereida Pediatrics 107 Palisades, Portland, TX 78374-4144 2018-08-14
1699066647 Michael Zubrow Pediatrics 22 Bramhall St, Portland, ME 04102 2011-04-26
1487953154 Laura Amar-dolan Pediatrics 22 Bramhall St, Portland, ME 04102-3175 2011-03-21
1437303443 Cydni Nicole Williams Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2008-11-05
1083863682 Pediatric Intensive Care Trauma Associates PC Pediatrics 2801 N Gantenbein Ave, Portland, OR 97227-1623 2008-09-18
1891976098 Kristine M Pleacher Pediatrics 22 Bramhall St, Portland, ME 04102 2007-11-16
1861607434 Amit Mehta Pediatrics 707 Sw Gaines St, Cdrc-p, Portland, OR 97239-2901 2007-05-14
1972649283 Carolyn F Shelak Pediatrics 2801 N Gantenbein Ave, Legacy Emanuel Children's Hospital, Portland, OR 97227-1623 2007-01-30
1780692210 Miles Steven Ellenby Pediatrics 3181 Sw Sam Jackson Park Rd, Doernbecher Children's Hospital Pediatric Icu, Portland, OR 97239-3011 2006-08-03
1780699298 Aileen Lanette Kirby Pediatrics 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2006-07-31
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97239

Improve Information

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Dataset Information

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.

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