PHILLIP ANDREW SHAW (NPI# 1447593256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447593256 |
Entity Type | Individual |
Full Name | PHILLIP ANDREW SHAW |
Credential | DPM |
Practice Address |
12911 120th Ave Ne Ste C50 Kirkland WA 98034-3080 |
Practice Telephone | 4258993234 |
Mailing Telephone | 4258993234 |
Mailing Fax Number | 4258993235 |
Enumeration Date | 2013-03-29 |
Last Update Date | 2017-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO60640602 | WA | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912215906 | Phillip Allen Shaw | Specialist/Technologist | 681 Highway 594, Monroe, LA 71203-8900 | 2010-09-23 |
1053558775 | Phillip James Shaw | Chiropractor | 41 Huntington Ln, Wheeling, IL 60090-6908 | 2009-01-16 |
Street Address |
12911 120TH AVE NE STE C50 |
City | KIRKLAND |
State | WA |
Zip Code | 98034-3080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144210287 | Lawrence Michael Maurer | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2005-10-27 |
1154479327 | Washington Foot and Ankle Sports Medicine Pllc | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2007-01-06 |
1982683322 | Peter Michael Vincent | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2006-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 213ES0000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Sports Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144210287 | Lawrence Michael Maurer | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2005-10-27 |
1154479327 | Washington Foot and Ankle Sports Medicine Pllc | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2007-01-06 |
1982683322 | Peter Michael Vincent | Podiatrist | 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080 | 2006-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356555098 | Michael A. Mishalanie, Dpm Ps | Podiatrist | 433 Sw 41st St, Renton, WA 98057-4926 | 2007-05-10 |
1891798955 | Howard Schaengold | Podiatrist | 466 228th Ave Ne, Sammamish, WA 98074-7209 | 2005-05-23 |
1396117305 | Inland Northwest Family Footcare, Pllc | Podiatrist | 1215 N Mcdonald Rd, Suite #201, Spokane Valley, WA 99216-1557 | 2015-10-29 |
1124383583 | Jeffrey Robert Pentek | Podiatrist | 1344 Wintergreen Ln Ne, Bainbridge Island, WA 98110 | 2012-07-11 |
1295046555 | Linda Oh | Podiatrist | 1100 9th Ave, Seattle, WA 98101-2756 | 2010-07-01 |
1891957361 | Lawrence Z Huppin, Dpm, Pllc | Podiatrist | 600 Broadway Ste 220, Seattle, WA 98122-5373 | 2008-06-26 |
Please comment or provide details below to improve the information on PHILLIP ANDREW SHAW.
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.