SPENCER SHAW


Address: 30 Greenridge Ave, White Plains, NY 10605-1237
Phone: 9143288555

SPENCER SHAW (NPI# 1053329797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053329797
Entity Type Individual
Full Name SPENCER SHAW
Credential MD
Practice Address 30 Greenridge Ave
White Plains
NY 10605-1237
Mailing Address Po Box 5801
New York
NY 10087-5801
Practice Telephone 9143288555
Practice Fax Number 9145937881
Mailing Telephone 9145937880
Mailing Fax Number 9145937881
Enumeration Date 2006-08-04
Last Update Date 2009-04-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
109224 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY RR MEDICARE P00600058 01

Other Providers SPENCER SHAW

NPI Name Taxonomy Address Enumeration
1396808341 Spencer William Shaw Family Medicine 12851 Lala Cove Ln Se, Olalla, WA 98359-9664 2006-12-19

Office Location

Street Address 30 GREENRIDGE AVE
City WHITE PLAINS
State NY
Zip Code 10605-1237

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164730859 Ellen M Samuels Speech-Language Pathologist 30 Greenridge Ave, Unit 2-d, White Plains, NY 10605-1237 2010-09-16
1598904773 Cardiology Consultants of Westchester, PC Internal Medicine 30 Greenridge Ave, White Plains, NY 10605-1237 2009-02-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841826443 Sarah Parad Rowen Lcsw Pllc Social Worker 200 Bloomingdale Road, White Plains, NY 10605 2020-03-16
1316455454 Jeffrey Barrett General Practice 23 Old Mamaroneck Rd # Studio1, White Plains, NY 10605 2018-01-10
1487109245 Francesca Annunziata Speech-Language Pathologist 470 Mamaroneck Avenue, Suite 204, White Plains, NY 10605 2016-08-23
1366862153 Nicholas Joseph Genova Psychiatry & Neurology Newyork-presbyterian Westchester Division, 21 Bloomingdale Rd, White Plans, NY 10605 2014-04-21
1811328719 Jamie Winter Psychologist 21 Bloomingdale Road, Rogers Building, Newyork-presbyterian Hospital, White Plains, NY 10605 2013-12-03
1073946075 Joanne Amy Yewdell Occupational Therapist 26 Maplemoor Lane, White Plains, NY 10605 2013-08-13
1295095222 Benjamin Carl Rudow Dentist 280 Mamaroneck Ave Ste 307, White Plains, NY 10605 2012-05-24
1639483811 Joel M Rodriguez Occupational Therapy Assistant 456 North Street, White Plains, NY 10605 2010-07-30
1609189752 Joanne Ruth Pelletier Psychologist 19 Greenridge Avenue, Andrus Children's Center Mental Health Division, White Plains, NY 10605 2010-07-19
1639498736 George Javor Internal Medicine 1 Brentwood Avenue, White Plains, NY 10605 2010-05-28
Find all providers in zip 10605

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578583787 Felix Davila Internal Medicine 36 Davis Ave, White Plains, NY 10605-1004 2006-07-20
1619954229 Jack I Rosemarin Internal Medicine 222 Westchester Ave, Ste 308, White Plains, NY 10604-2906 2005-12-23
1609851690 Robert W Antonelle Internal Medicine 311 North St, Room 402, White Plains, NY 10605-2217 2005-12-13
1457658445 White Plains Hospital Medical Center Internal Medicine 311 North St, Suite 403, White Plains, NY 10605-2217 2011-02-28
1306089180 New York Endoscopy Center, LLC Internal Medicine 2 Gannett Drive, Ste 104, White Plains, NY 10604-3404 2009-04-09
1598904773 Cardiology Consultants of Westchester, PC Internal Medicine 30 Greenridge Ave, White Plains, NY 10605-1237 2009-02-12
1639326424 Maria Lufrano Internal Medicine 4 Westchester Park Drive, Suite 210, White Plains, NY 10604-3431 2008-08-22
1083872584 Ana C Tuyama Internal Medicine 210 Westchester Ave, White Plains, NY 10604-2901 2008-05-30
1538333653 Bryan L Green Internal Medicine 30 Davis Ave, White Plains, NY 10605-1041 2008-04-18
1144492992 Allen Davidoff, M.d., P.C. Internal Medicine 2 Overlook Rd, White Plains, NY 10605-2442 2008-04-01
Find all providers in WHITE PLAINS

Competitor

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City WHITE PLAINS
Zip Code 10605

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Dataset Information

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.

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