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

Shane W. Coughlin, MD

Individual provider Emergency Medicine Physician · NPI 1336441419

Shane W. Coughlin, MD is an Emergency Medicine in Memphis, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2017, 9 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
PA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1407 Union Ave Ste 200
Memphis, TN 38104-3600
Phone: (901) 866-8813
Fax: (901) 302-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MT213433 (PA)

Record details

NPI number1336441419
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 23, 2010
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020
Mailing address1407 Union Ave, Suite 640, Memphis, TN 38104-3666

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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