CYNTHIA MAY FAGAN SHAW


Address: 900 W Faris Rd, Greenville, SC 29605-4255
Phone: 8644557070

CYNTHIA MAY FAGAN SHAW (NPI# 1821609322) 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) 1821609322
Entity Type Individual
Full Name CYNTHIA MAY FAGAN SHAW
Practice Address 900 W Faris Rd
Greenville
SC 29605-4255
Mailing Address 300 E Mcbee Ave Fl 4
Greenville
SC 29601-2842
Practice Telephone 8644557070
Mailing Telephone 8645228617
Enumeration Date 2020-08-10
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
24161 SC Physician Assistants & Advanced Practice Nursing Providers

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1841585213 Cynthia G Shaw Social Worker 6100 219th St Sw, Suite 480, Mountlake Terrace, WA 98043-2222 2011-06-14
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Office Location

Street Address 900 W FARIS RD
City GREENVILLE
State SC
Zip Code 29605-4255

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679578009 Dale Lemoin Duncan Radiology 900 W Faris Rd, Greenville, SC 29605-4255 2005-06-14
1639770233 Kristin L Schwartz Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2020-11-02
1891333852 Amber N Manley Speech-Language Pathologist 900 W Faris Rd, Greenville, SC 29605-4255 2019-12-20
1437793247 Heather Vance Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-11-05
1821631342 Amaris Marie Ross Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-10-28
1174175608 Christine Allison Mcjunkin Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-07-15
1124587068 Mary Allison Bellomo Genetic Counselor, MS 900 W Faris Rd, Greenville, SC 29605-4255 2019-03-19
1568929156 Victoria Baker Stephens Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-03-01
1194299552 Stephanie Reinhard Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2019-01-17
1336614049 Amy Caitlyn Crisp Nurse Practitioner 900 W Faris Rd, Greenville, SC 29605-4255 2018-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205306099 Prisma Health University Medical Group Family Medicine 110 Osage Drive, Greenville, SC 29605 2018-12-05
1306325626 Lauren Foster Fiscus Occupational Therapist 1900 Augusta Street, Suite 2500, Greenville, SC 29605 2018-08-08
1063914372 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 1720 Augusta St, Greenville, SC 29605 2018-03-02
1144748385 Johanna Ruth Henry Speech-Language Pathologist 1900 Augusta St., Suite 2500, Greenville, SC 29605 2017-09-08
1477083483 Alexis Dean Pedigo Speech-Language Pathologist 1900 Augusta St, Suite 2500, Greenville, SC 29605 2017-06-13
1134658420 Trace Christopher Deighan Obstetrics & Gynecology 890 West Faris Road, Suite 470, Greenville, SC 29605 2017-06-08
1023569837 Blessed With Goodness, LLC In Home Supportive Care 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 2016-10-17
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1124470976 Meredith Laine Cavagrotti Specialist/Technologist 700 Grove Rd, Greenville, SC 29605 2016-07-05
1205286895 Med-trans Corporation Ambulance 552 Perimeter Rd, Greenville, SC 29605 2016-06-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1033744701 Jennifer C Carpenter Nurse Practitioner 2018 County Road 3318, Greenville, TX 75402-5268 2020-03-03
1659904183 Joante Kirk Nurse Practitioner 1699 S Main St, Greenville, MS 38701-7364 2020-02-12
1578103859 Michelle Earley Nurse Practitioner 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 2020-01-14
1871138149 Paola Andrea Mora Tobon Nurse Practitioner 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 2019-11-11
1144863895 Rashemia Latricia Suber Nurse Practitioner 814 Riviera Cir N, Greenville, MS 38701-8029 2019-10-25
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1487116745 Megan Rogers Semanski Nurse Practitioner 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 2019-04-04
1053884247 Renee L Bridges Nurse Practitioner 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 2019-01-10
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Competitor

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City GREENVILLE
Zip Code 29605

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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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