BRIAN R. SHAW (NPI# 1578890570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578890570 |
| Entity Type | Individual |
| Full Name | BRIAN R. SHAW |
| Credential | D.O. |
| Practice Address |
2309 E Evesham Rd Suite 201 Voorhees NJ 08043-1559 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8563255400 |
| Practice Fax Number | 8563255416 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OS015512 | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | OT012650 | PA | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MB08946200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
25MB08946200 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Route 70 Ste D, Medford, NJ 080552371 | 8562918855 | 6094444552 |
| 6981 N Park Dr Ste 200b, Pennsauken, NJ 081094201 | 8566634949 | 8566636076 |
| 401 Young Ave Ste 275b, Moorestown, NJ 080573130 | 8562918855 | 8562918844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295790 | Brian Shaw | Behavior Technician | 515 E 700 S Ste 2a, Slc, UT 84102-3307 | 2019-06-25 |
| 1073930525 | Brian Thomas Shaw | Registered Nurse | 248 Newton Rd, Rochester, NY 14626-2340 | 2014-03-22 |
| 1992331961 | Brian Shaw | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2020-03-20 |
| 1124653621 | Brian Avery Shaw | Pharmacist | 890 Richmond Plz, Richmond, KY 40475-2564 | 2020-03-05 |
| 1457997827 | Brian Shaw | Physical Therapist | 1334 Terry Ave, Seattle, WA 98101-2747 | 2019-11-20 |
| 1134787724 | Brian Bor-uei Shaw | Physical Therapist | 3292 E Willow St, Signal Hill, CA 90755-2309 | 2019-05-30 |
| 1023540986 | Brian Ishum Shaw | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-03-30 |
| 1518321819 | Brian Shaw | Internal Medicine | 234 Goodman St, Ml 0781, Cincinnati, OH 45219-2364 | 2016-04-12 |
| 1124366331 | Brian Shaw | Occupational Therapist | 2025 E Egbert St, Brighton, CO 80601-2517 | 2013-01-22 |
| 1417238478 | Brian Shaw | Pharmacist | 615 W Main St, Norman, OK 73069-7062 | 2011-09-05 |
| Street Address |
2309 E EVESHAM RD SUITE 201 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629053434 | Brian L Grimmett | Internal Medicine | 2309 E Evesham Rd, Suite 101, Voorhees, NJ 08043-1559 | 2005-12-14 |
| 1821479098 | Kelly Ann Hanson | Nurse Practitioner | 2309 E Evesham Rd, Suite 201, Voorhees, NJ 08043-1559 | 2015-06-14 |
| 1861887580 | Lauren Guenther | Dietitian, Registered | 2309 E Evesham Rd, Voorhees, NJ 08043-1559 | 2015-03-31 |
| 1588059216 | Bonnie Duboff | Dietitian, Registered | 2309 E Evesham Rd, Voorhees, NJ 08043-1559 | 2015-03-31 |
| 1932592821 | Jeanne Hendricks | Dietitian, Registered | 2309 E Evesham Rd, Voorhees, NJ 08043-1559 | 2015-03-17 |
| 1609129998 | Bridget Anne Hopkins | Nurse Practitioner | 2309 E Evesham Rd, Suite 100, Voorhees, NJ 08043-1559 | 2012-10-24 |
| 1114243516 | Raghunandan Dudda Subramanya | Internal Medicine | 2309 E Evesham Rd, Suite 201, Voorhees, NJ 08043-1559 | 2010-04-12 |
| 1053561977 | Jason Palermo | Internal Medicine | 2309 E Evesham Rd, Suites 201 & 202, Voorhees, NJ 08043-1559 | 2008-09-27 |
| 1346408747 | Robert John Barrucco Jr. | Internal Medicine | 2309 E Evesham Rd, Suites 201 & 202, Voorhees, NJ 08043-1559 | 2008-06-02 |
| 1942497078 | Institute for Pain Relief Pa | Anesthesiology | 2309 E Evesham Rd, Suite B,c,d, Voorhees, NJ 08043-1559 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119014 | Hamilton Heart & Vascular Care LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 200, Hamilton, NJ 08619-1269 | 2018-10-09 |
| 1578812848 | Michael Alan Stein | Internal Medicine | 110 Lazarus Dr, Ledgewood, NJ 07852-2345 | 2012-09-02 |
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1417188905 | Humc Cardiovascular Partners, PC | Internal Medicine | 400 Frank W. Burr Boulevard, Suite 22, Teaneck, NJ 07666-6700 | 2009-07-31 |
| 1477727030 | Ramin Shayegan Hastings | Internal Medicine | 777 Terrace Ave Ste 311, Hasbrouck Heights, NJ 07604-3112 | 2008-04-15 |
| 1710168232 | Holy Name Cardiology Associates, PC | Internal Medicine | 954 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-11-27 |
| 1093883597 | Varinder Singh | Internal Medicine | 215 Bridge St, Bldg.e, Metuchen, NJ 08840-2291 | 2006-12-01 |
| 1073612990 | Isaac Tawfik | Internal Medicine | 479 Rt 520, Marlboro, NJ 07746 | 2006-09-21 |
| 1215034640 | Jonathan E. Goldstein Md | Internal Medicine | 268 Dr Martin Luter King, Newark, NJ 07102 | 2006-09-20 |
| 1942235577 | James R Clifford Md PC | Internal Medicine | 255 West Spring Valley Ave, Maywood, NJ 07607 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
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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.