Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Victor A. Shada, DO, PC

Organization Family Medicine Physician · NPI 1407037211

Victor A. Shada, DO, PC provides Family Medicine Physician services in Crossville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

396 S Main St
Crossville, TN 38555-5092 Not confirmed with CMS for 16 years — call before visiting
Phone: (931) 484-4560
Fax: (931) 484-1480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 1424 (TN)

Record details

NPI number1407037211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Shada — Owner · (931) 484-4560
NPI enumeratedNovember 20, 2007
Last updated in NPPESJuly 9, 2010
Mailing addressPo Box 887, Crossville, TN 38557-0887

Other providers in Crossville