MEDICARE: JURIS SHIBAYAMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	41112	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992758981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JURIS SHIBAYAMA MD

Provider Business Mailing Address
First Line	:	PO BOX 306556
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37230-6556
Country	:	US
Telephone Number	:	865-243-8153
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 STONECREST BLVD STE 300
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6801
Country	:	US
Telephone Number	:	615-267-6600
Fax Number	:	615-267-6603

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/10/2025

Similar Medicare Providers

1194476846 — MRS. MACKENZIE MATTINGLY LCSW
Practice Location Address:

300 STONECREST BLVD STE 310
SMYRNA, TN
37167-6801

Practice Phone: 629-606-6858
Practice Fax:

1508864406 — CHARLENE N BUNGER WHNP
Practice Location Address:

300 STONECREST BLVD STE 310
SMYRNA, TN
37167-6801

Practice Phone: 629-206-6858
Practice Fax:

1598745440 — MRS. ANNE BUNNY DONNELLY WOLF PT
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 616-278-1660
Practice Fax: 615-267-6603

1487603874 — NATHAN PATRICK HOOD PT
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 615-278-1660
Practice Fax: 615-267-6603

1336314152 — CASEY ANNE GRAHAM CRNP
Practice Location Address:

300 STONECREST BLVD STE 310
SMYRNA, TN
37167-6801

Practice Phone: 629-206-6858
Practice Fax:

1710213012 — MR. DANIEL JOSEPH GRIFFITH P.T.
Practice Location Address:

300 STONECREST BLVD STE 300
SMYRNA, TN
37167-6801

Practice Phone: 615-278-1660
Practice Fax: 615-267-6602

Directions to “ JURIS SHIBAYAMA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.