MATTHEW SHAW (NPI# 1104362649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104362649 |
| Entity Type | Individual |
| Full Name | MATTHEW SHAW |
| Practice Address |
1250 S Cedar Crest Blvd Ste 110 Allentown PA 18103-6224 |
| Mailing Address |
Po Box 783311 Philadelphia PA 19178-3311 |
| Practice Telephone | 6104028900 |
| Practice Fax Number | 6104025656 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA058821 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881118354 | Matthew Shaw | Speech-Language Pathologist | 35 Clayton Ct, Woodbridge, NJ 07095-1934 | 2017-07-27 |
| 1265766091 | Matthew F. Shaw | Psychologist | 303 Whitney Ave Ste 2e, New Haven, CT 06511-7205 | 2009-09-27 |
| 1952701518 | Matthew A Shaw | Family Medicine | 87983 Territorial Rd, Veneta, OR 97487-8775 | 2014-09-01 |
| 1730453390 | Matthew Shaw | Physician Assistant | 100 S San Mateo Dr, Ste 400, San Mateo, CA 94401-3805 | 2012-02-29 |
| 1164799920 | Matthew Steven Shaw | Pharmacist | 2609 E Main St, Springfield, OH 45503-5114 | 2011-11-22 |
| 1942529649 | Matthew Shaw | Nurse Anesthetist, Certified Registered | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2010-05-20 |
| 1790829075 | Matthew Q Shaw | Anesthesiology | 2015 Jackson St, Anderson, IN 46016 | 2007-02-19 |
| 1467472811 | Matthew David Shaw | Anesthesiology | 555 S 70th St, Lincoln, NE 68510-2462 | 2006-07-20 |
| Street Address |
1250 S CEDAR CREST BLVD STE 110 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18103-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558062 | Sarah Dolcemascolo | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2005-06-20 |
| 1336782127 | Bella Hearing Systems | Hearing Instrument Specialist | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-10-24 |
| 1942768619 | Allyson Buckshaw | Nurse Practitioner | 1250 S Cedar Crest Blvd, Allentown, PA 18103-6224 | 2019-03-12 |
| 1992285712 | Matthew J Cummings | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 110, Allentown, PA 18103-6224 | 2018-08-21 |
| 1841707866 | Tamara Callender | Nurse Practitioner | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-12-30 |
| 1144730227 | Michelle Lynn Gessner | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 400, Allentown, PA 18103 | 2017-10-03 |
| 1699227314 | Connor Prince | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-10-28 |
| 1649729070 | Sarah Connors | Physician Assistant | 1250 S Cedar Crest Blvd, Ste 215, Allentown, PA 18103-6224 | 2016-09-27 |
| 1285183715 | Samantha Schramak | Physician Assistant | 1250 S Cedar Crest Blvd, #400, Allentown, PA 18103-6224 | 2016-09-26 |
| 1700333739 | Alexis Brown | Physician Assistant | 1250 S Cedar Crest Blvd, Suite 215, Allentown, PA 18103-6224 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376156752 | Syed Ali Aown | Internal Medicine | 1200 Cedar Crest Blvd Department of Education-office Of, Allentown, PA 18103 | 2020-08-26 |
| 1558980169 | Shelley M. Spence | Occupational Therapist | 1243 South Cc Blvd., Suite 302, Allentown, PA 18103 | 2020-04-14 |
| 1386133791 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1259 S Cedar Crest Blvd Ste 336, Allentown, PA 18103 | 2018-05-02 |
| 1366939555 | St. Luke's Physician Group, Inc. | Family Medicine | 3570 Hamilton Blvd Ste 201, Allentown, PA 18103 | 2018-04-13 |
| 1942701008 | Bradford Young Family & Cosmetic Dentistry | Dentist | 1275 S. Cedar Crest Boulevard, Allentown, PA 18103 | 2018-02-23 |
| 1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
| 1538681457 | Rahul Gupta | Internal Medicine | Lehigh Valley Physicians Practice, 1250 S. Cedar Crest Blvd, Ste. 300, Allentown, PA 18103 | 2017-07-12 |
| 1669992962 | Aaron Michael Roman | Audiologist | 1210 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-27 |
| 1134658404 | Gyujae Choi | Internal Medicine | 1200 S. Cedar Crest Blvd., Allentown, PA 18103 | 2017-06-08 |
| 1255713731 | Firely Home for Kids | Skilled Nursing Facility | 2402 Sunshine Rd, Allentown, PA 18103 | 2015-06-22 |
| Find all providers in zip 18103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982252185 | Amanda Jane Gower | Physician Assistant | 1605 N Cedar Crest Blvd Ste 110, Allentown, PA 18104-2351 | 2019-08-30 |
| 1104306117 | Sean Duffy | Physician Assistant | 1667 Victoria Cir, Allentown, PA 18103-6474 | 2018-08-19 |
| 1811477300 | Harley Elizabeth Williams | Physician Assistant | 1240 S Cedar Crest Blvd Ste 215, Allentown, PA 18103-6369 | 2018-08-15 |
| 1932621356 | Lauren Dian Demberger | Physician Assistant | 1240 S Cedar Crest Blvd Ste 305, Allentown, PA 18103-6370 | 2017-07-07 |
| 1255773107 | Jacqueline Mary Turner | Physician Assistant | 401 N 17th St Ste 304, Allentown, PA 18104-5051 | 2013-07-20 |
| 1720364110 | Sarah Elizabeth Petruno | Physician Assistant | 401 N 17th St Ste 307, Allentown, PA 18104-5051 | 2011-10-29 |
| 1467755546 | Seth Vaughn | Physician Assistant | 4825 Tilghman Street, Allentown, PA 18104 | 2010-12-13 |
| 1891028122 | Jessica D Zehr | Physician Assistant | 1501 North Cedar Crest Blvd, Allentown, PA 18104-2309 | 2009-09-18 |
| 1275773723 | Samuel James Hertig | Physician Assistant | 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 | 2009-02-24 |
| 1497805022 | Wendi A Hontz | Physician Assistant | 1575 Pond Rd Ste 203, Allentown, PA 18104 | 2007-01-12 |
| Find all providers in ALLENTOWN | ||||
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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.