SPENCER SHAW (NPI# 1053329797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
109224 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RR MEDICARE | P00600058 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396808341 | Spencer William Shaw | Family Medicine | 12851 Lala Cove Ln Se, Olalla, WA 98359-9664 | 2006-12-19 |
Street Address |
30 GREENRIDGE AVE |
City | WHITE PLAINS |
State | NY |
Zip Code | 10605-1237 |
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 |
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 Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
City | WHITE PLAINS |
Zip Code | 10605 |
Please comment or provide details below to improve the information on SPENCER SHAW.
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.