DR. MARISA FUMIYE SHIODE M.D. NPI 1881075125

Obstetrics & Gynecology in Henderson, NV

Individual Female Obstetrics & Gynecology PECOS Enrolled Accepts Medicare Years Experience 5

About MARISA SHIODE

Marisa Shiode is a provider established in Henderson, Nevada and her medical specialization is obstetrics & gynecology with more than 5 years of experience. The NPI number of Marisa Shiode is 1881075125 and was assigned on June 2015. The practitioner's primary taxonomy code is 207V00000X with license number 7460 (NE). The provider is registered as an individual and her NPI record was last updated September 2019. Marisa Shiode is enrolled in PECOS and is registered with Medicare and accepts claims assignment.

NPI

1881075125

Provider NameDR. MARISA FUMIYE SHIODE M.D.
Provider Location Address2580 SAINT ROSE PKWY STE 140 HENDERSON, NV 89074
Provider Mailing Address8906 SPANISH RIDGE AVE STE 202 LAS VEGAS, NV 89148
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2015
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-12-2015
Last Update Date09-10-2019

Primary Taxonomy

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.7460
License StateNE
Taxonomy DescriptionAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Business Address

DR. MARISA FUMIYE SHIODE M.D.
2580 SAINT ROSE PKWY STE 140
HENDERSON, NV
ZIP 89074
Phone: (702) 862-8862
Fax: (702) 862-8774

Get Directions

Mailing Address

DR. MARISA FUMIYE SHIODE M.D.
8906 SPANISH RIDGE AVE STE 202
LAS VEGAS, NV
ZIP 89148
Phone: (702) 330-3102
Fax: (702) 912-4994

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
250002893MEDICAID (05)NV

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043284334 EDMOND ELIAS PACK M.D.
Individual
Obstetrics & Gynecology2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862
1366881302 CHRISTINA MARIA BALELO APN
Individual
Nurse Practitioner (Obstetrics & Gynecology)2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862
1598758310 JOCELYN QUEBRAL IVIE MD
Individual
Obstetrics & Gynecology2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862
1598764771 KEITH ROBERT BRILL M.D.
Individual
Obstetrics & Gynecology2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862
1710985700 PATRICIA E CASE DNP, APRN, CNM
Individual
Nurse Practitioner (Women's Health)2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862
1982945416 TIFFANY MARIE HENDRIX PA
Individual
Physician Assistant (Medical)2580 SAINT ROSE PKWY STE 140
HENDERSON, NV 89074
(702) 862-8862

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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