MICHAEL GEORGE SHAW (NPI# 1073058020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073058020 |
| Entity Type | Individual |
| Full Name | MICHAEL GEORGE SHAW |
| Credential | PMHNP-BC |
| Practice Address |
23 Pebble Hill Dr Brandon MS 39042-2140 |
| Practice Telephone | 6019416897 |
| Mailing Telephone | 6019416897 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
901869 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150191 | Michael Alfred Shaw | Pharmacist | 102 E Commerce, Crowell, TX 79227 | 2019-08-22 |
| 1356782791 | Michael Jay Shaw | Counselor | 3900 Bluebonnet Ln, Milford, TX 76670-1259 | 2013-07-15 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1609979863 | Michael M Shaw | Chiropractor | 3000 Carlisle, Suite 206, Dallas, TX 75204 | 2006-09-06 |
| 1679594113 | Michael P. Shaw | Dentist | 2020 Standiford Ave Ste B, Modesto, CA 95350-6530 | 2006-07-21 |
| 1134109358 | Michael B Shaw | Otolaryngology | 4230 W 83rd St, Tulsa, OK 74132-3020 | 2006-01-23 |
| 1831715044 | Michael Shaw | Dentist | 1500 Horizon Dr Ste 104, Chalfont, PA 18914-3966 | 2020-06-23 |
| 1861969412 | Michael Ed Shaw | Physician Assistant | 130 Fisher Rd, Berlin, VT 05602-9516 | 2018-10-31 |
| 1447638267 | Michael Shaw | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555-0591 | 2015-05-13 |
| 1295010148 | Michael Shaw | Counselor | 1111 6th Ave, Des Moines, IA 50314 | 2011-10-11 |
| Street Address |
23 PEBBLE HILL DR |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386656 | Megan Elizabeth Bogart | Nurse Practitioner | 1044 E Brandon Blvd Ste 2&3, Brandon, FL 33511-5509 | 2020-08-13 |
| 1922652049 | Roxian H Odom | Nurse Practitioner | 201 N College St Ste 105, Brandon, MS 39042-4439 | 2019-07-26 |
| 1316509185 | Healthy Minds & Healing Hearts | Nurse Practitioner | 843 Viscount St, Brandon, FL 33511-6653 | 2019-07-02 |
| 1912565219 | Cynthia C Dukes | Nurse Practitioner | 910 Lake Dr Apt 4a, 910 Lake Dr Apt 4a, Brandon, MS 39042-3819 | 2019-05-31 |
| 1700390184 | Tritresher Sizer | Nurse Practitioner | 323 Kings Ridge Cir, Brandon, MS 39047-6031 | 2017-11-21 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| 1639294622 | Susan B Cintron | Nurse Practitioner | 611 Lakewood Dr, Brandon, FL 33510-2814 | 2007-03-20 |
| 1902946312 | Elizabeth Mary Haviland | Nurse Practitioner | 90 Whites Point Rd, Brandon, VT 05733-9214 | 2007-02-07 |
| 1669586996 | William Dwight Johnson | Nurse Practitioner | 613 Marquette Drive, Brandon, MS 39042 | 2006-08-17 |
| 1598773897 | Christopher J Watkins | Nurse Practitioner | 501 Avalon Way Ste D, Brandon, MS 39047-7500 | 2006-08-03 |
| Find all providers in BRANDON | ||||
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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.