MR. JERRY EMERSON SHAW


Address: 3980 New Covington Pike Ste 200, Memphis, TN 38128-2514
Phone: 9019373232

MR. JERRY EMERSON SHAW (NPI# 1265619118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265619118
Entity Type Individual
Full Name MR. JERRY EMERSON SHAW
Credential PA-C
Practice Address 3980 New Covington Pike Ste 200
Memphis
TN 38128-2514
Mailing Address 5705 Stage Rd
Ste 240
Bartlett
TN 38134-4541
Practice Telephone 9019373232
Practice Fax Number 9013730804
Mailing Telephone 9013822606
Mailing Fax Number 9013730809
Enumeration Date 2008-01-23
Last Update Date 2009-09-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
815 TN Physician Assistants & Advanced Practice Nursing Providers

Other Providers JERRY SHAW

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1821452368 Jerry Shaw Pharmacist 208 N Parkway Dr, Alvarado, TX 76009-3716 2016-04-11
1508877515 Jerry L Shaw Dentist 1761 N 2000 W, Farr West, UT 84404 2006-08-11
1336186717 Jerry Lee Shaw Physical Therapist 2000 Pepperell Pkwy, Opelika, AL 36801-5452 2006-06-02

Office Location

Street Address 3980 NEW COVINGTON PIKE STE 200
City MEMPHIS
State TN
Zip Code 38128-2514

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518505775 Available Home Care Service Home Health 3133 Kirkcaldy Rd, Memphis, TN 38128 2019-12-18
1912545690 Sherry L. Russell Technician 4687 Priscilla Ave, Mmphis, TN 38128 2019-12-13
1518442318 Genevieve Tempy Thomas Counselor 3900 Covington Pike, Suite 107, Memphis, TN 38128 2018-09-27
1487172037 Right Care Home Health Agency Home Health 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 2017-09-05
1659744555 Bio-medical Applications of Tennessee, Inc. Clinic/Center 5020 English Towne Drive, Memphis, TN 38128 2015-11-02
1184009649 Linda Fay Williams Nurse Practitioner 3655 Haughton Lane #2, Memphis, TN 38128 2015-07-27
1194153528 Jessica Rene Bush Social Worker 2922 Covington Pike, Memphis, TN 38128 2013-10-22
1013345685 Frank Earl Madden Sr. Non-emergency Medical Transport (VAN) 4416 E. Hunters Glen St, Memphis, TN 38128 2013-10-17
1902230915 Jonathan Jeu Pharmacist 3500 Ramill Road, Memphis, TN 38128 2013-08-27
1245662238 D&s Residential Services, Lp Intermediate Care Facility, Mentally Retarded 3131 James Road, Memphis, TN 38128 2013-08-01
Find all providers in zip 38128

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568910560 Erica Troia Comstock Physician Assistant 7193 Farnham Rd, Memphis, NY 13112-8764 2016-09-19
1578895546 Carl H. Harris Physician Assistant 6946 Finch Rd, Memphis, TN 38141-8598 2010-02-02
1831361948 F & P Certified Surgical Assistants LLC Physician Assistant 4793 Northwood Hills Cv, Memphis, TN 38128-1632 2008-03-28
1508974700 Mary E Bruce Physician Assistant 890 Madison Ave, Memphis, TN 38103-3409 2006-08-28
1427683796 Madison Barry Physician Assistant 877 Jefferson Ave, Memphis, TN 38103-2807 2020-03-07
1891340154 Lauren Elizabeth Whitley Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-08-05
1518519057 Michael Trevor Houseal Physician Assistant 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104-7542 2019-07-15
1427571850 Kristen Kaplon Physician Assistant 6029 Walnut Grove Rd Ste 401, Memphis, TN 38120-2112 2017-07-18
1316485667 Kathryn Lee Physician Assistant 6025 Walnut Grove Rd Ste 301, Memphis, TN 38120-2123 2017-02-07
1700331527 Ted James Hegner Physician Assistant 6005 Park Ave Ste 802, Memphis, TN 38119-5218 2016-08-22
Find all providers in MEMPHIS

Competitor

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City MEMPHIS
Zip Code 38128

Improve Information

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Dataset Information

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.

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