PHILLIP ANDREW SHAW


Address: 12911 120th Ave Ne Ste C50, Kirkland, WA 98034-3080
Phone: 4258993234

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0000X Podiatrist
Specialization: Sports Medicine
PO60640602 WA Podiatric Medicine & Surgery Service Providers

Other Providers PHILLIP SHAW

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

Office Location

Street Address 12911 120TH AVE NE STE C50
City KIRKLAND
State WA
Zip Code 98034-3080

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 213ES0000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Sports Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City KIRKLAND
Zip Code 98034

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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