SUSANNA JANES SHAW (NPI# 1063685477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063685477 |
Entity Type | Individual |
Full Name | SUSANNA JANES SHAW |
Practice Address |
200 W Arbor Dr San Diego CA 92103-9000 |
Mailing Address |
Po Box 232410 San Diego CA 92193-2410 |
Practice Telephone | 8009268273 |
Practice Fax Number | 8885398781 |
Enumeration Date | 2008-04-07 |
Last Update Date | 2020-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
A158142 | CA | Allopathic & Osteopathic Physicians |
Street Address |
200 W ARBOR DR |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-9000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043215502 | Alfredo B. Tiu | Internal Medicine | 200 W Arbor Dr, Owen Clinic, San Diego, CA 92103-9001 | 2005-06-20 |
1841806536 | Kevin Thai Nguyen | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-18 |
1003421256 | Jessica Lynette Montoya | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-14 |
1013522838 | Julianna L Gorder | Psychologist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-09-09 |
1992318828 | Yodit Mekonnen Teklu | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
1356954283 | Dalia Siada | Dietitian, Registered | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-08-29 |
1699383588 | Rachael Ashley Gordon | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-17 |
1124646906 | Jeffrey David Bernstein | Student in an Organized Health Care Education/Training Program | 200 W Arbor Dr, Mc 1234, San Diego, CA 92103-9000 | 2020-07-08 |
1639796071 | Darcie D Brown | Marriage & Family Therapist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-07-01 |
1194340919 | Han B Dinh | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2020-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
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Taxonomy Code | 207LP3000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pediatric Anesthesiology |
An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649880147 | Pediatric Office Anesthesia Specialists | Anesthesiology | 12625 High Bluff Dr Ste 301, San Diego, CA 92130-2054 | 2020-08-09 |
1447516414 | Claire Sampankanpanich Soria | Anesthesiology | 200 W Arbor Dr, Mc 8770, San Diego, CA 92103-9000 | 2012-04-04 |
1538431382 | Matthew Scott Wilder | Anesthesiology | 3020 Childrens Way, San Diego, CA 92123-4223 | 2012-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457752198 | Mvp Pediatric and Urgent Care A Professional Corporation | Anesthesiology | 18555 Ventura Blvd Ste B, Tarzana, CA 91356-4101 | 2014-09-12 |
1518207471 | Robert W Wong | Anesthesiology | 1121 New Ave, Alhambra, CA 91801-4915 | 2013-02-28 |
1609145549 | Joanna Treder Kawecki | Anesthesiology | 13053 Maxwell Dr, Tustin, CA 92782-0919 | 2011-12-21 |
1891940078 | Susan Firestone | Anesthesiology | 4650 W Sunset Blvd # 3, Los Angeles, CA 90027-6062 | 2008-12-01 |
1619918364 | Toni Denise Daniels | Anesthesiology | 1430 13th Avenue, Oakland, CA 94606-1912 | 2006-06-10 |
1225596422 | Certified Anesthesia Consultants, Inc. | Anesthesiology | 1351 E Spruce Ave Ste 110, Fresno, CA 93720-3342 | 2019-03-06 |
1285192617 | Alexander R Schmidt | Anesthesiology | 300 Pasteur Dr, 3rd Floor Mail Code 5640, Stanford, CA 94305 | 2019-03-05 |
1104394329 | Scott C. Wallace Md Inc | Anesthesiology | 1415 Ross Ave, El Centro, CA 92243-4306 | 2018-11-06 |
1962944074 | Dennis Chang Md Pediatric Anesthesia Apc | Anesthesiology | 215 W Janss Rd, Thousand Oaks, CA 91360-1847 | 2016-11-07 |
1225494446 | Phillip Richardson Md Inc | Anesthesiology | 681 S Parker St, Ste 150, Orange, CA 92868-4719 | 2016-01-04 |
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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.