DR. LIAN R SHAW (NPI# 1154379576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154379576 |
| Entity Type | Individual |
| Full Name | DR. LIAN R SHAW |
| Credential | MD |
| Practice Address |
1003 Providence Dr Suite 325 Newberg OR 97132-7521 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032162188 |
| Mailing Telephone | 5032156494 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2020-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD159774 | OR | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD0043124 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8390684 | 05 |
| Street Address |
1003 PROVIDENCE DR SUITE 325 |
| City | NEWBERG |
| State | OR |
| Zip Code | 97132-7521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659363190 | Joshua Laurence Johnson IIi | Psychiatry & Neurology | 1003 Providence Dr, Suite 210, Newberg, OR 97132-7521 | 2005-08-19 |
| 1275008096 | Anna L Hiebert | Nurse Practitioner | 1003 Providence Dr, Newberg, OR 97132-7521 | 2018-10-08 |
| 1285091892 | Brandy Hayes | Nurse Practitioner | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2016-01-27 |
| 1508267253 | Amanda S Pinzon | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-09-12 |
| 1558787051 | Katherine Schneidmiller | Physician Assistant | 1003 Providence Dr, Newberg, OR 97132-7521 | 2014-03-09 |
| 1073943270 | Katherine Forba | Physician Assistant | 1003 Providence Dr, #210, Newberg, OR 97132-7521 | 2013-11-25 |
| 1447688916 | Jeri Turgesen | Psychologist | 1003 Providence Dr, Suite 101, Newberg, OR 97132-7521 | 2013-10-21 |
| 1497187710 | Providence Health & Services -oregon | Internal Medicine | 1003 Providence Dr, Suite 310, Newberg, OR 97132-7524 | 2013-08-09 |
| 1356786388 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 315, Newberg, OR 97132-7524 | 2013-05-03 |
| 1225378615 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2013-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1093278111 | Viva Wheaton Psyd LLC | Clinical Neuropsychologist | 603 E. Hancock St, Newberg, OR 97132 | 2019-04-08 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1154835338 | Breanne Embrey | Pharmacist | 1001 Providence Dr., Newberg, OR 97132 | 2017-11-26 |
| 1174063473 | Patricia Roberts | Hearing Instrument Specialist | 1014 B N Springbrook Rd, Newberg, OR 97132 | 2017-03-06 |
| 1477906048 | Dr. Marsha A. Green, L.L.C. | Community/Behavioral Health | 710c Foothills Dr, Ste 104, Newberg, OR 97132 | 2016-07-19 |
| 1760841308 | George Fox University Physical Therapy Community Clinic | Physical Therapist | 501 Villa Road, Newberg, OR 97132 | 2016-02-10 |
| 1013321389 | Jaecelle Guadiz Galeniece | Family Medicine | 1003 Providence Dr Ste 110, Newberg, OR 97132 | 2014-06-16 |
| 1790116978 | Nancy Stiehler Thurston | Psychologist | 501 N. Villa Rd., Newberg, OR 97132 | 2013-12-12 |
| 1700138856 | Kristen Z. Grbavac O'halloran | Physical Therapist | 1515 Portland Road, Suite 102, Newberg, OR 97132 | 2012-10-12 |
| Find all providers in zip 97132 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1154646610 | Theodore Allen Foster IIi | Internal Medicine | 1003 Providence Dr Ste 325, Newberg, OR 97132-7521 | 2010-03-28 |
| 1225378615 | Providence Health & Services - Oregon | Internal Medicine | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | 2013-02-21 |
| 1376630285 | Carol I Chen-johnston | Internal Medicine | 1003 Providence Drive, Suite 325, Newberg, OR 97132-7521 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982969820 | Samaritan Pacific Health Services, Inc. | Internal Medicine | 1010 Sw Coast Hwy Ste 101, Newport, OR 97365-5239 | 2012-07-06 |
| 1922362243 | Albany General Hospital | Internal Medicine | 631 Elm St Sw Ste 201, Albany, OR 97321-1952 | 2012-07-02 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1225309685 | Patrick Bergin | Internal Medicine | 1794 Sweetbriar Ln, Eugene, OR 97405-4457 | 2012-01-17 |
| 1164755534 | Richard E. Romm M.d., LLC | Internal Medicine | 2082 Dogwood Dr, Eugene, OR 97405-7007 | 2009-09-16 |
| 1568699932 | Arjun K. Chagarlamudi | Internal Medicine | 777 Commercial St. Se, Suite 130, Salem, OR 97301 | 2009-06-12 |
| 1518103274 | Centennial Medical Group Inc. | Internal Medicine | 201 Nw Medical Loop Ste 190, Roseburg, OR 97471-8835 | 2008-12-31 |
| 1124281423 | Jane Tuyet Luu | Internal Medicine | 2222 Nw Lovejoy St Ste 606, Portland, OR 97210-5104 | 2008-07-07 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| 1760692529 | Shaun Lowell Ageno | Internal Medicine | 3181 Sw Sam Jackson Park Rd # Uhn-62, Portland, OR 97239-3011 | 2007-05-23 |
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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.