DR. LYNN M SHIMABUKURO (NPI# 1871568170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871568170 |
| Entity Type | Individual |
| Full Name | DR. LYNN M SHIMABUKURO |
| Credential | MD |
| Practice Address |
2859 Virginia Beach Blvd Virginia Beach VA 23452 |
| Practice Telephone | 7573404901 |
| Practice Fax Number | 7573402502 |
| Mailing Telephone | 7573404901 |
| Mailing Fax Number | 7573402502 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101040224 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005836069 | 05 |
| Street Address |
2859 VIRGINIA BEACH BLVD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700851367 | John K Palting | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2006-02-17 |
| 1174015549 | Joslyn Delsignore | Physician Assistant | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2018-06-01 |
| 1952817637 | Velocity Urgent Care, LLC | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2017-12-18 |
| 1922463306 | Laurie Beth Dierstein | Social Worker | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2015-12-29 |
| 1417248436 | Olusola Kendra Onayemi | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2011-04-25 |
| 1679736821 | Tracy R Wilson | Nurse Practitioner | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2008-07-08 |
| 1972718716 | Passport Health, Inc. | Preventive Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-05-14 |
| 1245357813 | Sentara Medical Group | Clinic/Center | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 | 2007-03-26 |
| 1366417321 | Harry T Williams Jr. | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-22 |
| 1396710786 | Stephen Menefee | Family Medicine | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452 | 2006-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1346884400 | Asra R Javeed Dmd PC | Dentist | 4312 Holland Rd Ste 108, Virginia Beach, VA 23452 | 2019-11-01 |
| 1598313298 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 397 Little Neck Rd, Building 3400, Suite 107, Virginia Beach, VA 23452 | 2019-08-27 |
| 1205483229 | Brenna Dober | Behavior Technician | 380 Clevend Place, Virginia Beach, VA 23452 | 2019-08-23 |
| 1639652977 | Jessica Keefe | Psychologist | 642 Carriage Hill Road, Virginia Beach, VA 23452 | 2018-09-12 |
| 1316433709 | Circle of Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3630 S Plaza Trl Ste 210a, Virginia Beach, VA 23452 | 2018-07-09 |
| 1992205165 | Jeremy Monsanto | Behavior Technician | 629 Phoenix Drive, Ste 150, Virginia Beach, VA 23452 | 2018-02-14 |
| 1174056014 | Samantha Brown | Behavior Technician | 780 Nnhaven Parkway, Suite 400, Virginia Beach, VA 23452 | 2017-04-07 |
| 1043757685 | Join1,llc | Home Health | 349 Southport Circle, Suite 106, Virginia Beach, VA 23452 | 2017-01-20 |
| 1720520620 | Renee Brush | Psychologist | 485 S Independence Blvd Ste 104, Virginia Beach, VA 23452 | 2016-11-08 |
| Find all providers in zip 23452 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629422423 | Paris Ethan Pacheco | Internal Medicine | 1168 First Colonial Rd Ste 200, Virginia Beach, VA 23454-2444 | 2016-04-18 |
| 1477991529 | Leonardo Martin Oliva | Internal Medicine | 1060 First Colonial Rd Fl 1, Virginia Beach, VA 23454-3002 | 2013-06-11 |
| 1982940482 | Hilltop Healthcare LLC | Internal Medicine | 2132 Retreat Ct, Virginia Beach, VA 23454-2256 | 2013-01-02 |
| 1992071096 | Ravinderpal K Gill | Internal Medicine | 2901 S Lynnhaven Rd Ste 450, Virginia Beach, VA 23452 | 2012-03-22 |
| 1881962645 | Bert Wellington Holmes IIi | Internal Medicine | 1253 Nimmo Pkwy, Suite 110, Virginia Beach, VA 23456-7782 | 2011-12-08 |
| 1831483445 | Stella Alice Goings | Internal Medicine | 3908 Lake Front Cir, Suite 201, Virginia Beach, VA 23452-2712 | 2011-06-01 |
| 1063722510 | David S Haden Md PC | Internal Medicine | 5505 Indian River Rd Ste 101, Virginia Beach, VA 23464-5252 | 2010-10-18 |
| 1710293212 | Tidewater Integrative Health PC | Internal Medicine | 802 North Newtown Rd, Virginia Beach, VA 23462-1116 | 2010-08-23 |
| 1821316688 | Brian Joseph Lipps | Internal Medicine | 3074 Brickhouse Ct, Virginia Beach, VA 23452-6859 | 2010-05-04 |
| 1851627129 | Amy Marie Goodrich-harris | Internal Medicine | 2008 Winding Lake Ct, Virginia Beach, VA 23456-6305 | 2009-10-21 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23452 |
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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.