JOHN J SHEA III (NPI# 1891803557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891803557 |
| Entity Type | Individual |
| Full Name | JOHN J SHEA III |
| Credential | M.D. |
| Practice Address |
3265 W Sarazens Cir Suite 102 Memphis TN 38125-0806 |
| Mailing Address |
Po Box 2153 Dept 1850 Birmingham AL 35287-0002 |
| Practice Telephone | 9013821200 |
| Practice Fax Number | 9013828070 |
| Mailing Telephone | 9013821200 |
| Mailing Fax Number | 9013828070 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD0000016228 | TN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE SHIELD TN | 3084237 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961195 | John Shea | Physical Therapist | 2624 Ring Rd # 101, Elizabethtown, KY 42701-9118 | 2020-08-07 |
| 1235416231 | John Shea | Pharmacist | 4050 Us Highway 1, Jupiter, FL 33477-1123 | 2011-11-04 |
| 1639343940 | John Joseph Shea | Dentist | 23318 Olivewood Plaza Dr., Ste. A, Moreno Valley, CA 92553 | 2008-04-17 |
| 1659405645 | John W Shea Sr. | Pharmacist | 7200 Sunshine Dr S, St Petersburg, FL 33705-6152 | 2007-03-14 |
| 1245366343 | John E Shea | Psychologist | 11 Erica Cir, Hampden, MA 01036-9652 | 2007-02-26 |
| 1710083787 | John Patrick Shea | Otolaryngology | 11797 South I-35 W, #132, Burleson, TX 76028-7035 | 2006-09-16 |
| 1922306711 | John Michael Shea | Occupational Therapist | 3801 Summitview Ave, Yakima, WA 98902-2794 | 2011-03-03 |
| 1366775843 | John Shea | Counselor | 420 E Main St, Middletown, NY 10940-2516 | 2009-09-15 |
| 1760631733 | John Matthew Shea | Emergency Medicine | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2008-09-15 |
| 1720188451 | John Andrew Shea | Internal Medicine | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-23 |
| Street Address |
3265 W SARAZENS CIR SUITE 102 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-0806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818145 | Dale P. Cunningham Md, PC | Physical Medicine & Rehabilitation | 3265 W Sarazens Cir, Suite 101, Memphis, TN 38125-0806 | 2005-08-16 |
| 1942691134 | Patricia Chisholm, Md Primary Care | Clinic/Center | 3265 W Sarazens Cir, Suite 102, Memphis, TN 38125-0806 | 2015-02-10 |
| 1548257223 | Shea Center for Ears, Hearing and Balance Inc. | Specialist | 3265 W Sarazens Cir, Suite 102, Memphis, TN 38125-0806 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270963 | Daphne Hall | Specialist | 2504 Mount Moriah Rd Bldg D, Memphis, TN 38115-1519 | 2020-06-22 |
| 1013481597 | Tiffany Powell | Specialist | 679 S Mendenhall Rd, Memphis, TN 38117-5212 | 2019-01-17 |
| 1245735067 | Xclusive Kutz Barbershop | Specialist | 3610 Park Ave, Memphis, TN 38111-5630 | 2018-03-25 |
| 1033582267 | Aletta Roebuck | Specialist | 2275 Edgewood Cv, Memphis, TN 38104-4357 | 2015-11-10 |
| 1922482967 | Convalescent Home Health Services | Specialist | 2904 Chelsea Ave, Memphis, TN 38108-1705 | 2015-07-18 |
| 1821407859 | Rachel Siegel | Specialist | 430 Essex Pl, Memphis, TN 38120-2422 | 2014-08-04 |
| 1790199180 | Supplemental Specialists | Specialist | 7665 Easterly Ln, Memphis, TN 38125-4313 | 2014-06-13 |
| 1982027769 | Dowen E Synder | Specialist | 6224 Shady Grove Ln, Memphis, TN 38120-3107 | 2014-01-29 |
| 1962845503 | Atlas Health, Pllc | Specialist | 14 N Mclean Blvd, Memphis, TN 38104-2645 | 2013-04-13 |
| 1760725659 | Jyothishree PC | Specialist | 6005 Park Ave Ste 626b, Memphis, TN 38119-5221 | 2013-03-29 |
| Find all providers in MEMPHIS | ||||
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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.