MR. JESSE SHAW (NPI# 1396865788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396865788 |
Entity Type | Individual |
Full Name | MR. JESSE SHAW |
Other Name | MR. JESSE ZISHOLTZ SHAW |
Credential | DO |
Practice Address |
17779 Sw 2nd St Pembroke Pines FL 33029-3924 |
Practice Telephone | 9544500099 |
Practice Fax Number | 9544500022 |
Mailing Telephone | 9544500099 |
Mailing Fax Number | 9544500022 |
Enumeration Date | 2007-03-30 |
Last Update Date | 2012-10-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | OS10003 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 278697400 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952718157 | Jesse Shaw | Pharmacist | 1090 S Main St, Kernersville, NC 27284-7440 | 2014-07-20 |
1912293572 | Jesse Daniel Shaw | Family Medicine | 1401 25th St S, Great Falls, MT 59405-5183 | 2011-06-22 |
Street Address |
17779 SW 2ND ST |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33029-3924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134191588 | Augustine A Bollo | Podiatrist | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-02-01 |
1184176653 | Royal Palm Beach Rehab, Corp. | Neuromusculoskeletal Medicine, Sports Medicine | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2016-10-31 |
1902235971 | Tyler Lane Vail | Physician Assistant | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2013-11-11 |
1770837148 | All-pro Orthopedics and Sports Medicine Pa | Orthopaedic Surgery | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2012-11-06 |
1700825601 | Jennifer Nieves-cunningham | Nurse Practitioner | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407418981 | Whole Life Distributors | Clinical Nurse Specialist | 1055 Nw 187th Avenue, Pembroke Pines, FL 33029 | 2019-07-03 |
1295215507 | Rise N Shine Pharmacy Inc | Pharmacy | 17913 Nw 7 Street, Suite 104, Pembroke Pines, FL 33029 | 2018-08-16 |
1124505631 | Ivabella Alexandre | Nurse Practitioner | 17590 Sw 29th Ct, Miramar, FL 33029 | 2018-07-26 |
1346735883 | Ally Suzanne Montero | Specialist/Technologist | 18549 Sw 50th Ct, Miramar, FL 33029 | 2018-06-27 |
1386144046 | Alfonso Chie | Chiropractor | 18249 Pines Blvd, Pembroke Pines, FL 33029 | 2018-02-19 |
1316454960 | Danay Rodriguez-arritola | Registered Nurse | 1501 Sw 186 Ave, Pembroke Pines, FL 33029 | 2018-01-04 |
1316456528 | Orestes Mederos | Student in an Organized Health Care Education/Training Program | 17429 Sw 54 St, Miramar, FL 33029 | 2017-09-20 |
1508389644 | Konfetti Kidz Therapy | Occupational Therapy Assistant | 17901 Nw 5th St Ste 201, Pembroke Pines, FL 33029 | 2017-07-20 |
1215458765 | Nilien Cruz Palenzuela | Behavior Technician | 18024 Nw 21st St, Pembroke Pines, FL 33029 | 2017-07-05 |
1033650288 | Best Onsite Therapy Services, Inc. | Home Health | 18541 Sw 43rd Street, Miramar, FL 33029 | 2017-03-20 |
Find all providers in zip 33029 |
Taxonomy Code | 207X00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093215428 | Orthopaedic Center of S Florida | Orthopaedic Surgery | 603 N Flamingo Rd Ste 267, Pembroke Pines, FL 33028-1013 | 2018-02-12 |
1154391407 | Fernando Antonio Moya-huff | Orthopaedic Surgery | 17842 Nw 2nd St, Pembroke Pines, FL 33029 | 2006-01-26 |
1225034341 | Daniel A Sheldon | Orthopaedic Surgery | 601 N Flamingo Rd, Ste 213, Pembroke Pines, FL 33028-1015 | 2005-06-23 |
1770837148 | All-pro Orthopedics and Sports Medicine Pa | Orthopaedic Surgery | 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924 | 2012-11-06 |
1851654529 | Melvyn H. Rech, D.o., P.a. | Orthopaedic Surgery | 1900 N University Dr, Suite 107, Pembroke Pines, FL 33024-3618 | 2012-06-19 |
1457584468 | Johannes V. Blom, Md, Pa | Orthopaedic Surgery | 601 N Flamingo Rd, Suite 101, Pembroke Pines, FL 33028-1015 | 2009-08-25 |
1285812511 | Scott D Kazdan Do Pa | Orthopaedic Surgery | 601 N Flamingo Road, Suite 209, Pembroke Pines, FL 33028 | 2008-02-08 |
1831376276 | Broward Institute of Orthopaedic Specialties LLC | Orthopaedic Surgery | 601 N Flamingo Rd, Suite 213, Pembroke Pines, FL 33028-1015 | 2008-01-29 |
1073629903 | Broward Institute of Orthopaedic Specialties LLC | Orthopaedic Surgery | 601 N Flamingo Rd, Suite 101, Pembroke Pines, FL 33028-1015 | 2006-08-22 |
1033123435 | Melvyn H Rech | Orthopaedic Surgery | 1900 N University Dr, Suite 107, Pembroke Pines, FL 33024-3618 | 2006-07-28 |
Find all providers in PEMBROKE PINES |
City | PEMBROKE PINES |
Zip Code | 33029 |
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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.