JORDAN T SHAW


Address: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406
Phone: 6164597101

JORDAN T SHAW (NPI# 1710373139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710373139
Entity Type Individual
Full Name JORDAN T SHAW
Credential M.D.
Practice Address 1111 Leffingwell Ave Ne
Grand Rapids
MI 49525-6406
Practice Telephone 6164597101
Mailing Telephone 6164597101
Enumeration Date 2015-04-13
Last Update Date 2020-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 4301501177 MI Allopathic & Osteopathic Physicians

Other Providers JORDAN SHAW

NPI Name Taxonomy Address Enumeration
1427665231 Jordan Shaw Counselor 93 Silver St Bldg 6, Waterville, ME 04901-5923 2020-09-25
1982187274 Jordan Anthony Shaw Registered Nurse 3901 Rainbow Blvd, Kansas City, KS 66160-8500 2018-09-12
1255846986 Jordan D Shaw Chiropractor 333 Sw 5th St Ste B, Grants Pass, OR 97526-2509 2017-12-04
1164872263 Jordan Shaw Nurse Practitioner 929 N Saint Francis St, Wichita, KS 67214-3821 2016-06-20

Office Location

Street Address 1111 LEFFINGWELL AVE NE
City GRAND RAPIDS
State MI
Zip Code 49525-6406

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437151834 William G Brinkmeier Physician Assistant 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 2005-08-15
1316571334 Beth A Ronda Occupational Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2020-02-28
1811535172 Kaylyn Fales Specialist/Technologist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2019-12-18
1275170540 Marissa Marguerite Hansen Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2019-12-05
1285120568 Danielle M Beaudoin Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-07-10
1235630203 Michael D Newlin Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-02-26
1649787128 Corey John Koll Physician Assistant 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2018-01-05
1144735093 Bradley M Griffin Occupational Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-12-13
1811412315 Logan M Neil Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-08-07
1053848929 Hilary May Fredricks Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2017-05-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053928507 Therapy With Nicole Pllc Community/Behavioral Health 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 2020-09-29
1184242760 Christian Healthcare Specialists, Inc. Obstetrics & Gynecology 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 2020-07-09
1174154645 Amy Vanderslik Case Manager/Care Coordinator 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 2020-02-03
1477195246 Epic Discoveries LLC Counselor 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 2019-10-14
1598228959 Kim Scherencel Lmsw Counseling Social Worker 3280 Beltline Ne, Grand Rapids, MI 49525 2019-04-11
1821558958 Mindful Trajectories Social Worker 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 2019-03-24
1104380518 Julianne Lettinga, Ma Lpc Counseling Counselor 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 2019-01-30
1396227229 Christopher Scot Doucette Social Worker 2064 Airway St Ne, Grand Rapids, MI 49525 2018-09-06
1568976017 Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry Dentist 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 2017-11-20
1407389604 Kelly Jo Crabb Social Worker 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 2017-04-05
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053773507 Charles Trevor Crellin Orthopaedic Surgery 221 Michigan St Ne Fl 4, Grand Rapids, MI 49503-2543 2016-03-23
1366799124 Marci Anne Bartholomew Orthopaedic Surgery 221 Michigan St Ne Ste 402, Grand Rapids, MI 49503-2538 2012-08-11
1568723484 Gable Bert Moffitt Orthopaedic Surgery 221 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2543 2012-06-07
1114287893 Larry W Fitzsimmons Orthopaedic Surgery 7660 Pine Park Dr Se, Grand Rapids, MI 49546-9130 2012-05-29
1073809935 Katherine J Sage Orthopaedic Surgery 1195 Wilson Ave Nw Ste 200, Grand Rapids, MI 49534-6405 2011-06-20
1831418151 Rohan Ashok Habbu Orthopaedic Surgery 1422 Dewberry Pl Ne, Apt 16, Grand Rapids, MI 49505-6918 2010-05-26
1750543674 Mary A Herzog Orthopaedic Surgery 300 Lafayette Ave Se # 3400, Grand Rapids, MI 49503-4600 2008-07-01
1184883605 Melissa Marie Peters Orthopaedic Surgery 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 2008-06-09
1871782136 Casey R Bartman Md PC Orthopaedic Surgery 751 Kenmoor Ave, Grand Rapids, MI 49546 2007-10-23
1871629857 Thomas G Schwaderer Orthopaedic Surgery 2558 Alger Se, Grand Rapids, MI 49546-5602 2007-02-26
Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49525

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Dataset Information

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.

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