STEPHANIE ELIZABETH SHAW (NPI# 1508243668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508243668 |
| Entity Type | Individual |
| Full Name | STEPHANIE ELIZABETH SHAW |
| Credential | MD |
| Practice Address |
590 Peter Jefferson Pkwy Ste 250 Charlottesville VA 22911-4655 |
| Practice Telephone | 4342933890 |
| Practice Fax Number | 8046756299 |
| Mailing Telephone | 4342933890 |
| Mailing Fax Number | 8046756299 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2019-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101265673 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273252 | Stephanie Nicole Shaw | Social Worker | 6048 Lake Dr, Ypsilanti, MI 48197-7046 | 2019-09-10 |
| 1821550336 | Stephanie Shaw | Behavioral Analyst | 2909 Route 100 Ste 110, Orefield, PA 18069-2951 | 2019-04-03 |
| 1396276325 | Stephanie Shaw | Licensed Practical Nurse | 1490 Bunker Hill Rd, Columbus, GA 31907-7412 | 2017-03-22 |
| 1811364995 | Stephanie Shaw | Nurse Practitioner | 823 River Rd, Redfield, AR 72132-9667 | 2015-08-25 |
| 1487973657 | Stephanie Renee Shaw | Dietitian, Registered | 265 E Orange Grove Ave, Suite C, Burbank, CA 91502-1229 | 2010-05-26 |
| 1518572635 | Stephanie Shaw | Occupational Therapist | 872 E Main St, Bridgewater, NJ 08807-3395 | 2020-09-15 |
| 1164072641 | Stephanie Shaw | Social Worker | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2019-09-16 |
| 1396208260 | Stephanie Shaw | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave Fl 33143, South Miami, FL 33143-4701 | 2019-04-09 |
| 1164891933 | Stephanie C Shaw | Social Worker | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2015-09-22 |
| 1053680256 | Stephanie Renee Shaw | Pharmacist | 27440 Us Highway 27, Leesburg, FL 34748-8291 | 2011-12-19 |
| Street Address |
590 PETER JEFFERSON PKWY STE 250 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22911-4655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053313 | Laura Jean Istwany | Audiologist | 590 Peter Jefferson Pkwy Ste 250, Charlottesville, VA 22911 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760840912 | Hearing At Home | Hearing Instrument Specialist | 103 Free Brige Ln, Charlottesville, VA 22911 | 2016-02-03 |
| 1649637752 | Ebony Cosby | Contractor | 2500 Boulders Rd, Charlottesville, VA 22911 | 2016-01-20 |
| 1629452727 | Ahmed M Murtuza | Pharmacist | 925 Dorchester Pl Apt. 103, Charlottesville, VA 22911 | 2015-07-17 |
| 1083093231 | Kimberly P Tran | Dentist | 1470 Pantops Mountain Pl Ste 1, Charlottesville, VA 22911 | 2015-05-20 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1538599980 | Commonwealth Dental Anesthesiology Inc | Clinic/Center | 1460-b Pantops Mountain Place, Charlottesville, VA 22911 | 2013-11-21 |
| 1831386606 | Hudson Chiropractic P.C. | Chiropractor | 103-a Free Bridge Lane, Charlottesville, VA 22911 | 2007-09-26 |
| 1386863421 | Laura P Smith | Specialist | 595 Peter Jefferson Parkway Suite 390, Reproductive Medicine and Surgery Center of Va, Charlottesville, VA 22911 | 2007-04-25 |
| 1609928621 | Bl Enterprises, LLC | Physical Therapist | 1405 Rolkin Court, Suite 102, Charlottesville, VA 22911 | 2007-01-18 |
| 1972660959 | Kenneth I. Barron | Obstetrics & Gynecology | 630 Peter Jefferson Pkwy Ste 140b, Charlottesville, VA 22911 | 2007-01-02 |
| Find all providers in zip 22911 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184199598 | Lietzle Ann Ford | Family Medicine | 2224 Greenbrier Dr, Charlottesville, VA 22901-2919 | 2018-10-11 |
| 1013411842 | Wellfamily Medicine | Family Medicine | 1885 Seminole Trl Ste 105, Charlottesville, VA 22901-1160 | 2018-03-19 |
| 1285152181 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 1563 Broad Crossing Rd, Charlottesville, VA 22911-7480 | 2017-08-31 |
| 1760910202 | Robert Dudley Abbott | Family Medicine | 925 E Jefferson St, Charlottesville, VA 22902-5572 | 2017-05-29 |
| 1467809335 | Kelly Camryn Henkler | Family Medicine | 1800 Timberwood Blvd Ste A, Charlottesville, VA 22911-7544 | 2016-05-19 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1609074319 | Ian Wilson Bushell | Family Medicine | 1000 Research Park Blvd, Suite 200, Charlottesville, VA 22911-5842 | 2007-07-03 |
| 1356557516 | Kaitlyn Anne Beisecker-levin | Family Medicine | 1450 Sachem Pl Unit 201, Charlottesville, VA 22901-2554 | 2007-05-15 |
| 1013060359 | Rivers Edge Family Medicine | Family Medicine | 330 Winding River Lane, Charlottesville, VA 22911-3551 | 2007-01-19 |
| 1730242371 | First Med Inc | Family Medicine | 125 Riverbend Dr Ste 3, Charlottesville, VA 22911-8695 | 2006-12-18 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
Please comment or provide details below to improve the information on STEPHANIE ELIZABETH 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.