MRS. MELISSA ANN SHAW (NPI# 1821103862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821103862 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ANN SHAW |
| Credential | PA C |
| Practice Address |
267 Grant Street Dept of Pediatrics Bridgeport CT 06610 |
| Practice Telephone | 2033843199 |
| Mailing Telephone | 2033843199 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 000672 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978839 | Melissa Shaw | Case Manager/Care Coordinator | 38608 Lynx Way, Palmdale, CA 93551-5044 | 2019-12-03 |
| 1700330230 | Melissa Shaw | Massage Therapist | 963 Washington Twin Rd, Eaton, OH 45320-2117 | 2016-08-12 |
| 1801254198 | Melissa G Shaw | Technician/Technologist | 203 S Locust St, Suite B, Floyd, VA 24091-2505 | 2016-02-02 |
| 1376972596 | Melissa Shaw | Social Worker | 2020 19th St Nw, Washington, DC 20009-1308 | 2013-11-07 |
| 1336405273 | Melissa Shaw | Social Worker | 13905 W Layton Cir, Morrison, CO 80465-1070 | 2012-04-04 |
| 1619243847 | Melissa Holly Shaw | Dentist | 50 Windingwood Rd S, Rye Brook, NY 10573-1124 | 2012-04-02 |
| 1366622359 | Melissa Sue Shaw | Chiropractor | 761 Palmer Ave Ste 6, Holmdel, NJ 07733-1067 | 2007-11-07 |
| 1194870022 | Melissa Shaw | Social Worker | 3 Kensington Sq, Suite B, New Kensington, PA 15068-6443 | 2007-01-23 |
| 1164501565 | Melissa M Shaw | Physical Therapist | 22245 Anthem Pl, Chigiak, AK 99567-7020 | 2006-11-04 |
| 1700445491 | Melissa Charlene Shaw | Physical Therapy Assistant | 499 Alt Keene Rd, Largo, FL 33771-1652 | 2019-06-06 |
| Street Address |
267 GRANT STREET DEPT OF PEDIATRICS |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548882558 | Benjamin Hans Jeuk | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-05-13 |
| 1093335838 | Kwabena Sefah Nketiah Sarpong | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-22 |
| 1346860392 | Fabricio Malaguez Webber | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1154941318 | Prajna Dsilva | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Department of Internal Medicine Bridgeport Hospital, Bridgeport, CT 06610 | 2020-04-17 |
| 1013537281 | Lucia Plichtova | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-17 |
| 1295354397 | Meagan Ashley Norberta Klyn | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-09 |
| 1194354381 | Namita Bhagat | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2020-04-08 |
| 1659925196 | Connie Cholewczynski | Pharmacist | 267 Grant Street, Bridgeport, CT 06610 | 2019-08-01 |
| 1710540083 | Joshua Hillman | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Bridgeport, CT 06610 | 2019-04-22 |
| 1235691460 | Gaurav Parmar | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hospital, Bridgeport, CT 06610 | 2019-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| 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 |
|---|---|---|---|---|
| 1720617889 | Keri Bedillion | Physician Assistant | 527 Medical Park Dr Ste 306, Bridgeport, WV 26330-9010 | 2020-04-02 |
| 1114583291 | Steven K Struthers | Physician Assistant | 93 Lance Cir, Bridgeport, CT 06606-1046 | 2019-05-14 |
| 1588229645 | Alexander Daniel Ohlson | Physician Assistant | 46 Newton St, Bridgeport, CT 06605-3306 | 2019-05-04 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1861821209 | Andrea Megan Deloera | Physician Assistant | 808 Ww Ray Cir, Bridgeport, TX 76426-2061 | 2013-11-06 |
| 1093023681 | Robert Joseph Scherl | Physician Assistant | Bldg #3005 S.r. 108, Naval Hospital Branch Clinic, Bridgeport, Bridgeport, CA 93517 | 2010-09-17 |
| 1457480022 | James D Stalnaker | Physician Assistant | 527 Medical Park Dr Ste 401, Bridgeport, WV 26330-9010 | 2007-03-02 |
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1114033867 | William Douglas Todd | Physician Assistant | 221 Twin Lakes Road, Bridgeport, CA 93517-0535 | 2006-08-22 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
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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.