ALEXANDRA SHAW (NPI# 1689808297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689808297 |
| Entity Type | Individual |
| Full Name | ALEXANDRA SHAW |
| Credential | MD |
| Practice Address |
3555 W 13 Mile Rd Ste N120 Royal Oak MI 48073-6710 |
| Mailing Address |
26901 Beaumont Blvd Ste 3d Southfield MI 48033-3849 |
| Practice Telephone | 8558638761 |
| Practice Fax Number | 2485518190 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
4301111625 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336688761 | Alexandra Shaw | Acupuncturist | 3990 Old Town Ave, Ste B107, San Diego, CA 92110-2930 | 2017-02-17 |
| 1023460789 | Alexandra Shaw | Physician Assistant | Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-07-06 |
| 1144621954 | Alexandra Shaw | Speech-Language Pathologist | 29 N Academy St, Greenville, SC 29601-2629 | 2014-09-11 |
| Street Address |
3555 W 13 MILE RD STE N120 |
| City | ROYAL OAK |
| State | MI |
| Zip Code | 48073-6710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543262 | Daniel L Menkes | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2005-10-24 |
| 1346716537 | Maria Raffoul | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2018-10-16 |
| 1467930214 | Sara Soresi | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2018-08-03 |
| 1114411345 | Anna Elizabeth Pryor | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2018-06-20 |
| 1700308046 | Heather Montie | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2017-07-07 |
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1528506011 | Lisa Nicole Yaxley | Nurse Practitioner | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2017-02-06 |
| 1639445828 | Jessica Firman | Physician Assistant | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2012-04-01 |
| 1902193006 | Basad Ali Essa | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2011-07-09 |
| 1902192453 | Danielle Anstett Nolan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2011-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
| 1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
| 1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
| 1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
| 1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| Find all providers in zip 48073 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1902192453 | Danielle Anstett Nolan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Royal Oak, MI 48073-6710 | 2011-06-23 |
| 1245499961 | Daniel Arndt | Psychiatry & Neurology | 3535 W 13 Mile Rd, Medical Office Building, Suite 302, Royal Oak, MI 48073-6770 | 2008-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216821 | Aimee F Luat | Psychiatry & Neurology | 3901 Beaubien St., Children's Hospital of Mi, Detroit, MI 48201 | 2008-02-19 |
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1669419560 | Marianne E Majkowski | Psychiatry & Neurology | 2919 E. Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2006-05-31 |
| 1104815786 | Michael A Nigro | Psychiatry & Neurology | 6832 Ferry Ave, Charlevoix, MI 49720-9501 | 2005-10-17 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1053943928 | Msu Health Care Inc. | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1710342027 | Kabelo Joseph Thusang | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-12-31 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
| 1164866414 | David Sung-wook Moon | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2013-04-17 |
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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.