DR. SHADWAN F ALSAFWAH (NPI# 1891890430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891890430 |
| Entity Type | Individual |
| Full Name | DR. SHADWAN F ALSAFWAH |
| Credential | MD |
| Practice Address |
1407 Union Ave Suite # 200 Memphis TN 38104-3600 |
| Mailing Address |
1407 Union Avenue Suite # 640 Memphis TN 38104-3666 |
| Practice Telephone | 9018668803 |
| Practice Fax Number | 9013022445 |
| Mailing Telephone | 9018668360 |
| Mailing Fax Number | 9013022360 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
41527 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39235 | TN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
39235 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3337932 | 05 | |
| TN | MEDICARE | 103I062027 | 01 |
| AZ | 425003 | 05 |
| Street Address |
1407 UNION AVE SUITE # 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900367 | Christy White | Recreation Therapist | 1030 Jefferson Ave (rt117), Memphis, TN 38104 | 2020-10-19 |
| 1821615873 | Altiana Carter | Optometrist | 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 | 2020-06-25 |
| 1952898413 | Family To Family Adult Care Service | Chore Provider | 1331 Union Ave Suite 1028, Mempnis, TN 38104 | 2018-04-19 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1134644982 | Amy Michelle Wise | Nurse Practitioner | 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 | 2017-08-13 |
| 1316468572 | Jinger Cathey | Social Worker | 1330 Jefferson Ave, Memphis, TN 38104 | 2017-06-28 |
| 1336669183 | Charma May Kavuncu | Social Worker | 1407 Union Ave Ste 1100, Memphis, TN 38104 | 2017-06-22 |
| 1003345398 | Angelica J Dennis | Nurse Practitioner | 1265 Union, Memphis, TN 38104 | 2017-06-08 |
| 1609302546 | Cheryl Beene | Nurse Practitioner | 1211 Union Ave Ste 475, Memphis, TN 38104 | 2017-05-11 |
| Find all providers in zip 38104 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172464 | Cardiac Cin of West Tennessee LLC | Internal Medicine | 5865 Ridgeway Center Pkwy Ste 300c, Memphis, TN 38120-4032 | 2018-01-13 |
| 1922520873 | Telemedico Physicians Professional Corporation | Internal Medicine | 5490 Shady Grove Ter, Memphis, TN 38120-2414 | 2017-07-12 |
| 1922003037 | Joseph Seth Weinstein | Internal Medicine | 4901 Raleigh Common Drive, Suite 100, Memphis, TN 38128 | 2005-06-15 |
| 1932495637 | Saint Francis Cardiology Associates LLC | Internal Medicine | 6005 Park Ave, Ste. 500b, Memphis, TN 38119-5215 | 2011-06-22 |
| 1346536042 | Hitesh Agrawal | Internal Medicine | 51 N Dunlap St Fl 2, Memphis, TN 38105 | 2011-06-22 |
| 1255564712 | Family Heart Center | Internal Medicine | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2009-09-01 |
| 1821121955 | Muhammad Janjua | Internal Medicine | 2996 Kate Bond Rd Ste 105, Memphis, TN 38133-4062 | 2007-03-14 |
| 1114098043 | David C Wolford | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-11-13 |
| 1003991902 | Larry B Spiotta | Internal Medicine | 8060 Wolf River Blvd, Memphis, TN 38138-1727 | 2006-10-26 |
| 1760594238 | Nadish Garg | Internal Medicine | 1211 Union Ave Ste 965, Memphis, TN 38104 | 2006-08-31 |
| 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.