JESSICA MARIE SHAW


Address: 1700 S Lincoln Ave, Lebanon, PA 17042-7529
Phone: 7172726621

JESSICA MARIE SHAW (NPI# 1285964353) 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) 1285964353
Entity Type Individual
Full Name JESSICA MARIE SHAW
Credential D.P.M.
Practice Address 1700 S Lincoln Ave
Lebanon
PA 17042-7529
Practice Telephone 7172726621
Mailing Telephone 7172726621
Enumeration Date 2010-01-12
Last Update Date 2010-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
SC006173 PA Podiatric Medicine & Surgery Service Providers

Other Providers JESSICA SHAW

NPI Name Taxonomy Address Enumeration
1396362521 Jessica Shaw Dietitian, Registered 67 Henderson Ln, Hanover, MA 02339-1581 2020-07-04
1841530128 Jessica Lynn Shaw Counselor S73w16485 Janesville Rd, Muskego, WI 53150-8960 2013-02-22
1174805147 Jessica Rae Shaw Dietitian, Registered 1000 N Lincoln Ave, Sutie 2900, Oklahoma City, OK 73104 2011-09-15
1235428459 Jessica Anna Shaw Marriage & Family Therapist 6420 E Broadway Blvd Ste B200, Tucson, AZ 85710-3514 2011-03-29
1740349281 Jessica R Shaw Acupuncturist 17 Mystic St, Medford, MA 02155-3611 2006-12-08
1386125847 Jessica Shaw Occupational Therapist 920 S 4th St, Louisville, KY 40203-3206 2018-08-23
1609381888 Jessica Shaw Behavioral Analyst 345 Greenwood St Ste A, Worcester, MA 01607-1767 2017-12-09
1861940983 Jessica Shaw Pharmacist 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 2016-09-18
1992172894 Jessica Shaw Physical Therapist 300 Kildaire Woods Dr, Cary, NC 27511 2015-08-26
1548661812 Jessica Shaw Occupational Therapist 200 Governors Ave, Medford, MA 02155-1644 2014-09-05

Office Location

Street Address 1700 S LINCOLN AVE
City LEBANON
State PA
Zip Code 17042-7529

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881680015 Michael L Heck Jr. Nurse Anesthetist, Certified Registered 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2005-09-22
1972115806 Carolyn L Ringler Registered Nurse 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-21
1962014225 Tracy Lukasiewicz Optometrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-18
1821609512 Ida Frances Carvell Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-14
1134730153 Brandon Cory Vanderbrook Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-13
1588275671 Emilie Shuler Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1578174637 Sybil Irene Stambaugh Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1831700954 Joseph Magnusson Jr. Recreation Therapist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-08-12
1275150559 Alexa Nicole Spennato Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-02
1871110312 Evan Cauterucci Dentist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2020-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023676384 Sandra L Pistone Registered Nurse 905 S. 2nd Ave, Lebanon, PA 17042 2019-06-03
1154848414 Kihc, LLC Home Health 900-c Centerville Road, Suite C, Lancaster, PA 17042 2017-08-28
1316301724 Good Samaritan Physician Services Radiology 844 Tuck Street, Lebanon, PA 17042 2016-04-12
1609265883 Ashley Hess Behavioral Analyst 15th South 9th Street, Lebanon, PA 17042 2015-01-12
1932504727 Anthony Salvadore Petrole Physician Assistant 252 4th Street, Lebanon, PA 17042 2014-10-23
1801209713 Matthew Johnson Family Medicine 920 Church Street, Lebanon, PA 17042 2014-06-09
1437414505 Odalys Gonzalez-rodriguez Physical Therapist 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 2012-07-05
1750677175 Anita Lyn Stokes Speech-Language Pathologist 1126 Walnut Street, Lebanon, PA 17042 2011-06-23
1205126497 Karey Lynn Foote Pharmacist 415 S. 9th St, Lebanon, PA 17042 2011-04-09
1013227685 T. W. Ponessa and Associates Counseling Services, Inc. Community/Behavioral Health 101 E. Evergreen Road, Lebanon, PA 17042 2010-10-18
Find all providers in zip 17042

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205155850 Christopher Scott Benac Podiatrist 1424 W Baddour Pkwy Ste E, Lebanon, TN 37087-2685 2010-05-21
1669436085 Christopher Andrew Seda Podiatrist 840 Helen Drive, Suite 1, Lebanon, PA 17042-5300 2006-04-13
1326686015 Arash Jalil Podiatrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2019-12-13
1144864117 Godfrey Ofori Podiatrist 1700 S Lincoln Ave, Lebanon, PA 17042-7529 2019-11-03
1467992834 Lebanon Valley Foot and Ankle Center Podiatrist 840 Helen Dr, Suite 1, Lebanon, PA 17042-7456 2017-03-03
1316387665 Jared Rick Malan Podiatrist 420 Loretto Rd, Suite 500, Lebanon, KY 40033-1628 2013-07-01
1861759342 Ian M Yarger Podiatrist 912 Russell Dr, Lebanon, PA 17042-7485 2012-04-20
1447550322 Dyane Elizabeth Tower Podiatrist 1 Medical Center Dr, Dhmc - Orthopedics, Podiatric Medicine, Lebanon, NH 03756-1000 2010-10-26
1851555312 Tyler Grout Podiatrist 120 Hospital Dr, Ste 100, Lebanon, MO 65536-9238 2008-07-14
1316125032 Howard J Tzorfas Dpm Podiatrist 1386 Route 22 West, Lebanon, NJ 08833 2008-02-05
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Competitor

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City LEBANON
Zip Code 17042

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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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