MICHAEL ED SHAW (NPI# 1861969412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861969412 |
| Entity Type | Individual |
| Full Name | MICHAEL ED SHAW |
| Practice Address |
130 Fisher Rd Berlin VT 05602-9516 |
| Mailing Address |
98 Lakeview Ter # 2 Burlington VT 05401-2930 |
| Practice Telephone | 8023714264 |
| Mailing Telephone | 8023431377 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 055.0031417 | VT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 98 Lakeview Ter # 2, Burlington, VT 054012930 | 8023431377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972150191 | Michael Alfred Shaw | Pharmacist | 102 E Commerce, Crowell, TX 79227 | 2019-08-22 |
| 1073058020 | Michael George Shaw | Nurse Practitioner | 23 Pebble Hill Dr, Brandon, MS 39042-2140 | 2016-12-29 |
| 1356782791 | Michael Jay Shaw | Counselor | 3900 Bluebonnet Ln, Milford, TX 76670-1259 | 2013-07-15 |
| 1659416626 | Michael M Shaw | Counselor | 2425 Chatlin Road, Holiday, FL 34691 | 2007-02-20 |
| 1609979863 | Michael M Shaw | Chiropractor | 3000 Carlisle, Suite 206, Dallas, TX 75204 | 2006-09-06 |
| 1679594113 | Michael P. Shaw | Dentist | 2020 Standiford Ave Ste B, Modesto, CA 95350-6530 | 2006-07-21 |
| 1134109358 | Michael B Shaw | Otolaryngology | 4230 W 83rd St, Tulsa, OK 74132-3020 | 2006-01-23 |
| 1831715044 | Michael Shaw | Dentist | 1500 Horizon Dr Ste 104, Chalfont, PA 18914-3966 | 2020-06-23 |
| 1447638267 | Michael Shaw | Anesthesiology | 301 University Blvd # 2-a, Galveston, TX 77555-0591 | 2015-05-13 |
| 1295010148 | Michael Shaw | Counselor | 1111 6th Ave, Des Moines, IA 50314 | 2011-10-11 |
| Street Address |
130 FISHER RD |
| City | BERLIN |
| State | VT |
| Zip Code | 05602-9516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528067063 | Michael S Cohn | Urology | 130 Fisher Rd, Mob-c, Ste 1, Berlin, VT 05602-9516 | 2005-07-18 |
| 1194384974 | David Alexander Segel | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-06-06 |
| 1497210959 | Brenda Neff | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2019-02-08 |
| 1750819371 | Jamie D Bariteau | Nurse Practitioner | 130 Fisher Rd, Berlin, VT 05602-9516 | 2017-05-25 |
| 1104378066 | Amy Gendron | Dietitian, Registered | 130 Fisher Rd, Central Vermont Medical Center, Berlin, VT 05602-9516 | 2016-10-26 |
| 1457809238 | Bonnie Solley | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2016-09-21 |
| 1598150914 | Melissa Beaudry | Nurse Practitioner | 130 Fisher Rd, Mob-b Suite 3, Berlin, VT 05602 | 2015-04-02 |
| 1508256843 | Heidi Eames | Registered Nurse | 130 Fisher Rd, Berlin, VT 05602-9516 | 2015-01-26 |
| 1053725200 | Brett Erdreich | Internal Medicine | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-16 |
| 1902219694 | Conor Smith Carpenter | Psychiatry & Neurology | 130 Fisher Rd, Berlin, VT 05602 | 2014-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| 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 |
|---|---|---|---|---|
| 1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1346620390 | Berlin Medical Associates | Physician Assistant | 175 Cross Keys Rd Ste 300b, Berlin, NJ 08009-9263 | 2015-06-04 |
| 1376955096 | Joseph Sicard | Physician Assistant | 798 U.S. Route 302, Berlin, VT 05602 | 2014-05-29 |
| 1376984229 | Michael A Puglisi | Physician Assistant | 225 Memorial Dr Ste 1100, Berlin, WI 54923-1243 | 2013-07-08 |
| 1538439278 | Jennifer Lynn Burrows | Physician Assistant | 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 | 2012-01-11 |
| 1679897615 | Rosanna J Woodard | Physician Assistant | 1311 Barre-montpelier Rd, Suite 200, Berlin, VT 05602-9516 | 2010-03-19 |
| 1376878025 | Todd Morgan | Physician Assistant | 1311 Barre- Montpelier Rd, Cvmc Expresscare, Berlin, VT 05602-0000 | 2009-10-14 |
| 1295734069 | Anna M Freeman | Physician Assistant | 11101 Cathage Rd., Berlin, MD 21811 | 2005-07-14 |
| 1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
| Find all providers in BERLIN | ||||
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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.