JUSTIN MERRITT SHAW (NPI# 1255675237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255675237 |
| Entity Type | Individual |
| Full Name | JUSTIN MERRITT SHAW |
| Practice Address |
3079 28th St Se Kentwood MI 49512-1667 |
| Mailing Address |
1802 Galloway St Eau Claire WI 54703-3467 |
| Practice Telephone | 6169420795 |
| Practice Fax Number | 6169420901 |
| Mailing Telephone | 7158318966 |
| Mailing Fax Number | 7158318968 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 3501005725 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376045054 | Justin Tyler Shaw | Specialist/Technologist | 368 N Greenville Ave, Allen, TX 75002-2232 | 2018-03-08 |
| 1528387438 | Justin M Shaw | Ophthalmology | 485 Royer Drive, Suite 103, Lancaster, PA 17601-5102 | 2010-05-18 |
| 1932611357 | Justin William Shaw | Registered Nurse | 50 Jay St, Brooklyn, NY 11201-1144 | 2017-10-25 |
| Street Address |
3079 28TH ST SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689045049 | Heather Sova-shevock | Hearing Instrument Specialist | 2350 32nd St Se Ste 100, Kentwood, MI 49508-7901 | 2015-10-12 |
| 1326404823 | Justin D Norton | Hearing Instrument Specialist | 2350 32nd St Se, #100, Kentwood, MI 49508-7901 | 2016-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251641 | Erika L Bunkley | Hearing Instrument Specialist | 18451 W 12 Mile Rd Ste 201, Lathrup Village, MI 48076-2635 | 2020-10-01 |
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1790312965 | Brook Mantei | Hearing Instrument Specialist | 4480 Bay Rd Ste 3, Saginaw, MI 48603-5220 | 2020-03-26 |
| 1104453018 | Donald Murphy | Hearing Instrument Specialist | 4165 24th Ave Ste C, Fort Gratiot, MI 48059-3854 | 2020-03-23 |
| 1841826898 | Greg J Weidman | Hearing Instrument Specialist | 596 N Port Crescent St, Bad Axe, MI 48413-1209 | 2020-03-20 |
| 1841826047 | Justin Michael Hess | Hearing Instrument Specialist | 6841 Eastman Ave, Midland, MI 48642-7897 | 2020-03-19 |
| 1356976732 | Jeralyn Patrice Garvey | Hearing Instrument Specialist | 7200 W Saginaw Hwy Ste 3, Lansing, MI 48917-1133 | 2020-03-06 |
| 1609411339 | John Duane Frantz | Hearing Instrument Specialist | 5475 Beckley Rd Ste 150, Battle Creek, MI 49015-4277 | 2019-11-18 |
| 1417592551 | Jane Ellen White | Hearing Instrument Specialist | 4635 14 Mile Rd Ne Ste A, Rockford, MI 49341-7310 | 2019-11-13 |
| 1497399166 | Lauren Ashley Reynolds | Hearing Instrument Specialist | 38 44th St Sw, Grandville, MI 49418-2177 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
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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.