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Colleen Nobuko Shimazu, MD

NPI 1427043801ActiveIndividual· Dermatology· Maryville, TN

Dermatology (MD) in Maryville, Tennessee, licensed in TN, with an NPI issued in September 2005.

Overview

NPI1427043801
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedSep 13, 2005
Last updated in NPPESDec 15, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Dermatology Primary207N00000X33887TN
Specialist174400000XMD33887TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dermatology providers in Maryville

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