IndividualActive
Colleen Shimazu, MD
NPI 1427043801 · Dermatology Physician · Maryville, TN
Provider details
- NPI number
- 1427043801
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD33887 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
653 Morganton Square Dr
Maryville, TN 37801-4763
Phone: (865) 584-8588
Fax: (865) 584-3364
Street-level locationGet directions
Mailing address
6701 Baum Dr
Knoxville, TN 37919-7360
Registry dates
- Enumerated
- 2005-09-13
- Last updated
- 2016-12-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.