CASEY ELIZABETH SHABA (NPI# 1710181201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710181201 |
| Entity Type | Individual |
| Full Name | CASEY ELIZABETH SHABA |
| Other Name | CASEY ELIZABETH WILFORD |
| Credential | MD |
| Practice Address |
4230 Harding Pike Ste 703 Nashville TN 37205-2013 |
| Mailing Address |
2528 Ashwood Ave Nashville TN 37212-4810 |
| Practice Telephone | 6152123012 |
| Practice Fax Number | 6159425413 |
| Mailing Telephone | 6152123012 |
| Mailing Fax Number | 6159425413 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2019-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
47062 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
4230 HARDING PIKE STE 703 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37205-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164960563 | Traceside Dermatology and Allergy Plc | Dermatology | 4230 Harding Pike Ste 703, St. Thomas West, East Plaza, Nashville, TN 37205-2013 | 2017-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548191 | Anne Nicole Koethe | Nurse Practitioner | Saint Thomas Medical Group, 4230 Harding Pike #503, Nashville, TN 37205 | 2020-11-06 |
| 1396307260 | Tyler G Smith | Dentist | 104 Kenner Ave., Suite #101, Nashville, TN 37205 | 2019-07-01 |
| 1487129508 | The Counseling Center At Belle Meade United Methodist Church, LLC | Counselor | Counseling Center At Belle Meade Umc, 121 Davidson Road, Nashville, TN 37205 | 2018-10-04 |
| 1932592953 | Generations Behavioral Health LLC | Psychiatric Hospital | 4423 Forsythe Place, Nashville, TN 37205 | 2015-03-16 |
| 1114323284 | Caroline Rhett Hartman | Counselor | 85 White Bridge Road, Ste 302, Nashville, TN 37205 | 2014-11-17 |
| 1619316387 | Sarah Jane Grayce | Psychiatry & Neurology | 85 White Bridge Rd Ste 302, Nashville, TN 37205 | 2013-06-17 |
| 1902142920 | Smita K Rao | Genetic Counselor, MS | 4220 Harding Pike Ste 200, Nashville, TN 37205 | 2012-12-19 |
| 1225386154 | Jessica Blain Trumble | Registered Nurse | 204 Carden Ave, Nashville, TN 37205 | 2012-08-27 |
| 1962778167 | Bryan Richard Hay | Internal Medicine | 4320 Harding Pike Ste 503, Nashville, TN 37205 | 2012-04-02 |
| 1184998064 | Christopher Snider | Specialist/Technologist, Other | 738 Templeton Dr, Nashville, TN 37205 | 2012-02-24 |
| Find all providers in zip 37205 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354980 | Patient Centered Diagnostics Plc | Dermatology | 4220 Harding Pike, Suite 504, Nashville, TN 37205-2005 | 2014-03-19 |
| 1447374491 | James Perry Fields | Dermatology | 4301 Hillsboro Pike, Suite 200, Nashville, TN 37215-3345 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396025060 | Mariantonieta Tirado Gonzalez | Dermatology | 930 Madison Ave Ste 890, Memphis, TN 38103-3413 | 2011-08-25 |
| 1326246737 | Alyssa Michelle Feiner | Dermatology | 142 Collins St, Memphis, TN 38112-3810 | 2007-07-06 |
| 1720314248 | Agne Naujokas | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2009-10-19 |
| 1891955688 | Melinda R Mohr | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2008-06-15 |
| 1972790681 | Quyn Sherrod Rahman | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2007-09-26 |
| 1659494326 | Henry Mahler | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2007-04-09 |
| 1285703421 | Michael Lee | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2006-11-06 |
| 1518046796 | Petra Milde | Dermatology | 5301 Virginia Way, Suite 300, Brentwood, TN 37027-7541 | 2006-11-06 |
| 1942250915 | Janet Lyon Knight | Dermatology | 6401 Poplar Ave, Suite 405, Memphis, TN 38119-4823 | 2006-05-11 |
| 1861480980 | Carolina M Montes | Dermatology | 7550 Wolf River Blvd, Suite 200, Germantown, TN 38138-1780 | 2005-10-12 |
| Find all providers with the same taxonomy | ||||
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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.