MR. JESSE SHAW


Address: 17779 Sw 2nd St, Pembroke Pines, FL 33029-3924
Phone: 9544500099

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery OS10003 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 278697400 05

Other Providers JESSE SHAW

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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

Office Location

Street Address 17779 SW 2ND ST
City PEMBROKE PINES
State FL
Zip Code 33029-3924

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PEMBROKE PINES
Zip Code 33029

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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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