Provider Demographics
NPI:1700990090
Name:SHEAR, STEPHANYA B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANYA
Middle Name:B
Last Name:SHEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HEALTH PARK DR FL HP2
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4525
Mailing Address - Country:US
Mailing Address - Phone:615-373-7600
Mailing Address - Fax:877-767-2310
Practice Address - Street 1:1802 BRAEBURN DR
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:VA
Practice Address - Zip Code:24153
Practice Address - Country:US
Practice Address - Phone:540-772-3702
Practice Address - Fax:540-772-3703
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250086208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1700990090OtherHEALTHNET FEDERAL SERVICES
VA8156940OtherCIGNA
VA1700990090OtherANTHEM
VA1700990090OtherUNITED HEALTHCARE / MAMSI
VA1700990090OtherGATEWAY HEALTH
VA1700990090Medicaid
NC5917750Medicaid
NC5917750Medicaid