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Deactivated NPI 1891803557 Deactivated / Inactive NPI Male Practitioner

Dr. John J Shea , MD

Specialist • Memphis, TN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Shea has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 25, 2006
NPI Deactivation Date December 22, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Shea, MD was a registered Specialist practicing in Memphis, TN. Throughout an active medical career spanning 14 years, Dr. Shea provided care at the practice location at 3265 W SARAZENS CIR until profile deactivation on 2020-12-22.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3265 W Sarazens Cir
Suite 102

Memphis, TN 381250806

Telephone 9013821200
Fax 9013828070
Associated Practice Facility / Clinic
🏢 Dale P. Cunningham Md, Pc Facility NPI 1104818145

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.1 Yrs
State Avg: 36.3 Yrs
Regional Practice Density
98 Specialists

Practicing in Memphis, TN (784 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
58 47 $135.00 $102.49

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License TN MD0000016228

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Neil Buettner , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013935998

Certified Registered Nurse Anesthetist

Peggy Gilliam , CRNA

Nurse Anesthetist, Certified Registered

NPI 1982630117

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 22, 2020

Record deactivated on December 22, 2020

NPI Profile Active April 28, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 28, 2015

Registered at 3265 W SARAZENS CIR, SUITE 102, MEMPHIS, TN 381250806 (Tel: 9013821200)

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Updated Business Mailing Address April 28, 2015

Registered at PO BOX 2153 DEPT 1850, BIRMINGHAM, AL 352870002 (Tel: 9013821200)

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Provider Name / Credentials Updated April 28, 2015

Recorded as JOHN SHEA, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2015

Specialist (License #MD0000016228 in TN)

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Initial NPI Registration & Enumeration August 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891803557
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2006
Last Update: April 28, 2015
Deactivation Date: December 22, 2020

Mailing Address

Po Box 2153 Dept 1850

Birmingham, AL 352870002

Phone: 9013821200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.