Shibumi, LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

35051891 Issued in OH

Legal business name

SHIBUMI, LLC

Practice address

310 Straight St
Cincinnati, OH 45219-1019

Phone

(513) 559-2777

NPI assigned

Nov 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randell K Wolf, MD

Title

Owner

Phone

(513) 313-4060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1508048943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WORTH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410112064",
            "telephone_number": "513-313-4060",
            "fax_number": "513-558-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STRAIGHT ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191019",
            "telephone_number": "513-559-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIBUMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RANDELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-313-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": "35051891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishwanath M Shetty, M.D.
• Donald Lee Shewmake, APRN
• Catherine Shewmaker
• David Sheyn, MD
• Bethel Shibru
• Desiree Nicole Shields
• Donita Shields
• Katherine Elizabeth Shields, MS, LPC
• Luke Shields
• Michele R Shields, LPN

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.