SHEA CLINIC NPI 1760447015

NPI Information

  • NPI: 1760447015
  • Provider Name: SHEA CLINIC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: SHEA CLINIC, ASC
  • Address: 6133 POPLAR PIKE
    MEMPHIS, TN
    ZIP 38119
  • Phone: (901) 761-9720

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NPI Details

SHEA CLINIC is an ambulatory surgical clinic center in Memphis, TN. SHEA CLINIC NPI is 1760447015. The provider is registered as an organization entity type.
The provider Is Doing Business As Shea Clinic, Asc.

The provider's business location address is:

6133 POPLAR PIKE
MEMPHIS, TN
ZIP 38119-707
Phone: (901) 761-9720
Fax: (901) 683-8440

The provider's authorized official is John R Gross .
The authorized official title is Administrator and has the following contact phone number (901) 761-9720.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Incision of fluid canal of inner ear with infusion of drugs (HCPCS:69801)
  • Removal of nasal air passage (HCPCS:30130)
  • Incision of nasal sinus using an endoscope (HCPCS:31256)
  • Exam of nose and sinus with removal of nasal sinus using an endoscope (HCPCS:31257)
  • Reshaping of nasal cartilage (HCPCS:30520)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 10/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical0000000050TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13287130MEDICARE ID-TYPE UNSPECIFIEDTENNESSEEGROUP MEDICARE NUMBER
2490000678OTHERTENNESSEERAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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