LAUREN SHAW (NPI# 1518476332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518476332 |
| Entity Type | Individual |
| Full Name | LAUREN SHAW |
| Credential | PA-C |
| Practice Address |
6412 W Gulf To Lake Hwy Crystal River FL 34429-7622 |
| Mailing Address |
85 Grass St Homosassa FL 34446-6110 |
| Practice Telephone | 3525632450 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3621 E Forest Dr, Inverness, FL 344530787 | 3525632450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659688471 | Lauren M Shaw | Occupational Therapist | 41 Elmcroft Rd, Rochester, NY 14609-7738 | 2010-09-01 |
| 1841849536 | Lauren Shaw | Massage Therapist | 838 S 30th St, Heath, OH 43056-1254 | 2019-09-05 |
| 1235799503 | Lauren Catherine Shaw | Physician Assistant | 1030 Boulevard, West Hartford, CT 06119-1801 | 2019-06-18 |
| 1003356890 | Lauren Shaw | Speech-Language Pathologist | 407 3rd St Se, Minot, ND 58701-4470 | 2017-02-28 |
| 1629524905 | Lauren B Shaw | Social Worker | 7784 Innovation Park Dr., Baton Rouge, LA 70820-7006 | 2016-08-28 |
| 1750755997 | Lauren Shaw | Massage Therapist | 1138 Nw Market St, Seattle, WA 98107-3710 | 2015-11-28 |
| 1922496587 | Lauren Shaw | Psychologist | 3375 N Arlington Heights Rd Ste F, Arlington Heights, IL 60004-7701 | 2015-01-06 |
| 1043553753 | Lauren Angela Katkish Shaw | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101-2502 | 2013-04-01 |
| 1902930951 | Lauren Nicole Shaw | Occupational Therapist | 336 S West End Ave, Lancaster, PA 17603-5043 | 2007-03-14 |
| Street Address |
6412 W GULF TO LAKE HWY |
| City | CRYSTAL RIVER |
| State | FL |
| Zip Code | 34429-7622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952373086 | Crystal River Endoscopy Asc Lp | Clinic/Center | 6412 W Gulf To Lake Hwy, Crystal River, FL 34429-7622 | 2006-02-02 |
| 1437718392 | Crystal River Anesthesia Associates, LLC | Anesthesiology | 6412 W Gulf To Lake Hwy, Crystal River, FL 34429-7622 | 2019-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324386 | Sydney M Mergler | Specialist/Technologist | 315 Ne 10th St, Crystal River, FL 34429 | 2020-07-23 |
| 1497255814 | Plantation Medical Care, Pa | Clinic/Center | 9030 W Fort Island Trl Ste 11b, Crystal River, FL 34429 | 2018-02-13 |
| 1356864599 | Jeri Leigh Anderson | Family Medicine | 6199 W. Gulf To Lake Hwy, Crystal River, FL 34429 | 2017-07-19 |
| 1982011706 | Bambi Ann Heyer | Nurse Practitioner | 659 Ne Hwy 19 Unit 1, Crystal River, FL 34429 | 2014-07-14 |
| 1982977120 | Life Soulutions | Community/Behavioral Health | 427 Ne 3rd St Ste C, Crystal River, FL 34429 | 2012-02-20 |
| 1073844296 | Richard C Swanson,dmd Pa | Clinic/Center | 1815 Se Hwy 19, Crystal River, FL 34429 | 2010-01-28 |
| 1710116520 | Albert M. Boholst | Surgery | 730 S.e. 5th Terrace, Crystal River, FL 34429 | 2009-07-14 |
| 1033353453 | Claire Annette Wirt | Mechanotherapist | 1925 Se Hwy 19, Crystal River, FL 34429 | 2009-04-29 |
| 1811134067 | John D. Hosner, D.d.s., P.a. | Dentist | 1118 N. Suncoast Blvd., Crystal River, FL 34429 | 2009-01-09 |
| 1396981528 | Meadowcrest Family Physicians, P.a. | Family Medicine | 1250 N Vantage Pt Dr, Crystal River, FL 34429 | 2008-12-17 |
| Find all providers in zip 34429 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467474601 | Dawn Goodpaster | Physician Assistant | 1132 Se Kings Bay Dr, Crystal River, FL 34429-4645 | 2006-07-24 |
| 1144299579 | Gretchen L Kronenthal | Physician Assistant | 9030 W Fort Island Trl Ste 1, Crystal River, FL 34429-8011 | 2006-03-17 |
| 1679568356 | Jeanna Reid Smith | Physician Assistant | 6254 W Corporate Oaks Dr, Crystal River, FL 34429-8723 | 2005-09-19 |
| 1366437535 | Darrin Lee Mcghan | Physician Assistant | 905 N Citrus Ave, Crystal River, FL 34428-3422 | 2005-09-14 |
| 1003420308 | Neko Futhey | Physician Assistant | 255 Se 7th Ave Ste 3, Crystal River, FL 34429-4848 | 2020-09-03 |
| 1336629054 | Abbie Jo Moulder | Physician Assistant | 5616 W Norvell Bryant Hwy, Crystal River, FL 34429-7572 | 2018-08-21 |
| 1972007003 | Alexei Polk | Physician Assistant | 5616 W Norvell Bryant Hwy, Crystal River, FL 34429-7572 | 2018-03-22 |
| 1730689373 | Allen N Conn | Physician Assistant | 6099 W Gulf To Lake Hwy, Crystal River, FL 34429-8721 | 2018-02-20 |
| 1669920336 | Rachel Sandoval | Physician Assistant | 5616 W Norvell Bryant Hwy, Crystal River, FL 34429-7572 | 2016-09-12 |
| 1548641244 | Dennise Staab | Physician Assistant | 5616 W Norvell Bryant Hwy, Crystal River, FL 34429-7572 | 2015-06-18 |
| Find all providers in CRYSTAL RIVER | ||||
| City | CRYSTAL RIVER |
| Zip Code | 34429 |
Please comment or provide details below to improve the information on LAUREN 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.