DR. TERRY W SHAW (NPI# 1023000155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023000155 |
| Entity Type | Individual |
| Full Name | DR. TERRY W SHAW |
| Credential | D.C. |
| Practice Address |
3701 E Lake Ctr Suite 1 Quincy IL 62305-5842 |
| Practice Telephone | 2172243935 |
| Practice Fax Number | 2172245941 |
| Mailing Telephone | 2172243935 |
| Mailing Fax Number | 2172245941 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38003395 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | HEALTHLINK NUMBER | 178343 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063423994 | Terry Glen Shaw | Clinical Neuropsychologist | 7146 S Braden, Suite 500, Tulsa, OK 74136 | 2006-08-09 |
| Street Address |
3701 E LAKE CTR SUITE 1 |
| City | QUINCY |
| State | IL |
| Zip Code | 62305-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073848677 | Catalino G Batiller Jr. | Physical Therapist | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2009-10-15 |
| 1053503839 | Janet Elizabeth Hay | Counselor | 3701 E Lake Ctr, Suite 7, Quincy, IL 62305-5842 | 2007-08-15 |
| 1083736235 | Gina Brunetti Miller | Social Worker | 3701 E Lake Ctr, Ste 8, Quincy, IL 62305-5842 | 2007-04-06 |
| 1326173410 | Karen R. Harper | Physical Therapist | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2007-02-22 |
| 1568476794 | Nancy A. Ogle | Nurse Practitioner | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2006-07-27 |
| 1366465213 | Primary Care Physicians, S.c. | Internal Medicine | 3701 E Lake Ctr, Suite 1, Quincy, IL 62305-5842 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447582549 | Cathi Marie Webb | Counselor | 3701 E Lake Center Dr, Suite # 8 The Shaw Building, Quincy, IL 62305 | 2010-02-01 |
| 1285804450 | Curtis D Fauble | Dentist | 4561 Maine, Quincy, IL 62305 | 2008-03-04 |
| 1598940256 | Kelley Jo Begeman | Licensed Practical Nurse | 934 North 1903 Road Lane, Quincy, IL 62305 | 2007-12-31 |
| 1649459470 | Aa Dental Care PC | Dentist | 407 So 48th Street, Quincy, IL 62305 | 2007-10-29 |
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1689899056 | Capelle House | Day Training, Developmentally Disabled Services | 3325 Ghost Hollow Road, Quincy, IL 62305 | 2007-04-13 |
| 1750416236 | Julie A Danker | Social Worker | 2209 N 64th St, Quincy, IL 62305 | 2007-02-23 |
| 1942812300 | Brooke N Bracy | Dentist | 4561 Maine, Quincy, IL 62305 | 2020-08-18 |
| 1558997379 | Blessing Corporate Services, Inc | Clinic/Center | 4800 Maine St, Quincy, IL 62305 | 2020-03-13 |
| Find all providers in zip 62305 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154789956 | Daryle Ann Hightower | Chiropractor | 332 S 36th St Ste 3, Quincy, IL 62301-5808 | 2016-02-08 |
| 1558728683 | Trevor Grayling Akers I | Chiropractor | 837 N 36th St, Quincy, IL 62301-4626 | 2016-01-20 |
| 1932573805 | Created for Motion Wellness Center LLC | Chiropractor | 105 N 36th St Ste 101, Quincy, IL 62301-3704 | 2015-11-16 |
| 1417360116 | Chiro Wellness Professionals LLC | Chiropractor | 1200 Hancock St, Ste 306, Quincy, MA 02169-4318 | 2014-06-10 |
| 1023371200 | Cassidy Elaine Kaiser | Chiropractor | 319 S Ray Quincy Rd, Quincy, MI 49082-9788 | 2012-06-21 |
| 1518240449 | Tamara Lynn Burkhead | Chiropractor | 1102 West Jefferson St., Quincy, FL 32351-2212 | 2011-09-27 |
| 1255633061 | Becky Grimm Dc Sc | Chiropractor | 521 S 24th St, Quincy, IL 62301-5730 | 2010-11-30 |
| 1912232547 | Leslie Rogers Trimble | Chiropractor | 1704 N 24th St, Ste 1, Quincy, IL 62301-3304 | 2009-10-15 |
| 1447497391 | Mary Chau | Chiropractor | 423a Hancock St, Quincy, MA 02171-2408 | 2009-01-14 |
| 1740407543 | Suzanne Denise Feldmann | Chiropractor | 1210 N 24th St, Quincy, IL 62301-2233 | 2007-04-20 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.