COLLEEN SHAW (NPI# 1538290614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538290614 |
Entity Type | Individual |
Full Name | COLLEEN SHAW |
Credential | PA |
Practice Address |
400 N Perry St Johnstown NY 12095-1115 |
Practice Telephone | 5187361911 |
Practice Fax Number | 5187361923 |
Mailing Telephone | 5187361911 |
Mailing Fax Number | 5187361923 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2012-02-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0852001PA | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00473643 | 05 | |
NY | MVP HEALTHPLAN | 346851 | 01 |
NY | LISCENSE | 0852001PA | 01 |
NY | BLUE SHIELD | 000414322001 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285126516 | Colleen E Shaw | Social Worker | 9 Frostbrook Ct, Greensboro, NC 27455-2801 | 2018-06-01 |
1659763910 | Colleen Shaw | Developmental Therapist | 10111 N Canterbury Rd, Philadelphia, PA 19114-1113 | 2015-02-24 |
1376840587 | Colleen R. Shaw | Pediatrics | 916 Jackson Avenue, Sheridan, WY 82801 | 2011-02-24 |
1578826970 | Colleen O'hara Shaw | Nurse Practitioner | 4910 N Armenia Ave, Tampa, FL 33603-1402 | 2012-06-20 |
1760764161 | Colleen Crystal Shaw | Nurse Practitioner | 1495 W 5th Ave, Columbus, OH 43212-2403 | 2011-09-13 |
Street Address |
400 N PERRY ST |
City | JOHNSTOWN |
State | NY |
Zip Code | 12095-1115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245713619 | Kayla Brooks | Registered Nurse | 465 South Perry St., Johnstown, NY 12095 | 2018-09-12 |
1134676729 | Billie Jo Loveless | Rehabilitation Unit | 6 East Clinton Street, Apt 1, Johnstown, NY 12095 | 2016-09-01 |
1427447499 | Cynthia Ann Lockrow | Counselor | 2-8 West Main Street, Johnstown, NY 12095 | 2015-01-14 |
1700282563 | Karie Nasser | Occupational Therapist | 201 W. Madison Avenue, Johnstown, NY 12095 | 2014-11-06 |
1063772838 | St. Mary's Healthcare | Internal Medicine | 700 South Perry St, Johnstown, NY 12095 | 2012-05-25 |
1801163654 | Maryerin Johneen Agard | Rehabilitation Hospital | Route 67, Hfm Boces, Johnstown, NY 12095 | 2011-11-22 |
1497053672 | Erin Kelly Drobnack | Occupational Therapist | 2755 St Rt 67, Johnstown, NY 12095 | 2011-03-11 |
1407180649 | Clara Mae Smith | Licensed Practical Nurse | 3462 State Highway 29, Johnstown, NY 12095 | 2009-09-21 |
1770730061 | Sarah Elizabeth Liporace | Speech-Language Pathologist | 2714 Ny-29, Johnstown, NY 12095 | 2008-08-19 |
1730335761 | Willing Helpers Home for Women Inc. | Assisted Living Facility | 226 West Madison Ave., Johnstown, NY 12095 | 2008-08-11 |
Find all providers in zip 12095 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548752470 | Brooke Lynn Rhoades | Physician Assistant | 322 Warren St Ste 300, Johnstown, PA 15905-3443 | 2018-06-06 |
1114467677 | Erika George | Physician Assistant | 516 Indiana St, Johnstown, PA 15905-2315 | 2017-03-03 |
1043316870 | Thomas J Destefano | Physician Assistant | 429 Industrial Park Dr, Pbg Health and Wellness Center, Johnstown, PA 15904 | 2006-09-16 |
1538190996 | Meghan Bolinger | Physician Assistant | 598 Galleria Dr, Johnstown, PA 15904-8900 | 2006-07-05 |
1639167604 | Francis Buddy Legath | Physician Assistant | 1118 Club Dr, Johnstown, PA 15905-1914 | 2005-10-12 |
1568063733 | Kathryn Joanne Zohoranacky | Physician Assistant | 323 Budfield St, Johnstown, PA 15904-3213 | 2020-11-04 |
1487134938 | Tayler Orion Sechrengost | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2018-08-15 |
1649764853 | Angela Marie Beahr | Physician Assistant | 374 Theatre Dr, Johnstown, PA 15904 | 2018-06-20 |
1619460722 | Jeremy M. Sotosky | Physician Assistant | 350 Budfield St, Johnstown, PA 15904-3214 | 2018-06-13 |
1487107348 | Kayla Ann Beatty | Physician Assistant | 348 Budfield St, Johnstown, PA 15904-3214 | 2016-07-27 |
Find all providers in JOHNSTOWN |
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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.