Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Victor A Shada, DO

Individual provider Family Medicine Physician · NPI 1851390728

Dr. Victor A Shada, DO is a Family Practice in Crossville, Tennessee. Graduated from Chicago College of Osteopathy in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Trained at
Chicago College of Osteopathy
Licensed in
TN
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1264 Dayton Ave
Crossville, TN 38555-6175
Phone: (931) 484-4560
Fax: (931) 484-1480
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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 number1851390728
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 21, 2005
Last updated in NPPESApril 26, 2023
Certification dateApril 26, 2023
Mailing addressPo Box 887, Crossville, TN 38557-0887

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolCHICAGO COLLEGE OF OSTEOPATHY
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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