Organization Active NPI

Shea Center for Ears, Hearing and Balance Inc.

  • Specialist
  • Memphis, TN
National Provider Identifier
1548257223
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000016228 Issued in TN
Legal business name
SHEA CENTER FOR EARS, HEARING AND BALANCE INC.
Practice address
3265 W Sarazens Cir
Suite 102
Memphis, TN 38125-0806
Phone
(901) 382-1200
Fax
(901) 382-8070
NPI assigned
Sep 29, 2005
Last updated
Mar 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. John J Shea III, MD
Title
Ceo
Phone
(901) 382-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000016228 TN Primary

Addresses

Primary practice location

3265 W Sarazens Cir
Suite 102
Memphis, TN 38125-0806

Mailing address

PO Box 2153 Dept 1850
Birmingham, AL 35287-0002
Phone (901) 382-1200

National Provider Directory

National Provider Directory

Locations

3265 W Sarazens Cir
Ste 102
Memphis, TN 38125
Phone (901) 244-6784

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1548257223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2153 DEPT 1850",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352870002",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 W SARAZENS CIR",
            "address_2": "SUITE 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250806",
            "telephone_number": "901-382-1200",
            "fax_number": "901-382-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEA CENTER FOR EARS, HEARING AND BALANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-382-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000016228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.