MARK CAL SHAW (NPI# 1881644938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881644938 |
| Entity Type | Individual |
| Full Name | MARK CAL SHAW |
| Credential | M.D. |
| Practice Address |
402 Second St. Bernice LA 71222 |
| Mailing Address |
741 Hidden Valley Dr. Garrison TX 75946 |
| Practice Telephone | 3182859066 |
| Practice Fax Number | 3182859065 |
| Mailing Telephone | 9367159869 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | M9001 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD023225 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1495611 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171557 | Mark Shaw | Social Worker | 5640 Teakwood Dr, Dalzell, SC 29040-9652 | 2017-12-29 |
| 1245646637 | Mark Shaw | Dentist | 15 Gosnell Xing, Staunton, VA 24401-6297 | 2014-07-07 |
| 1831202068 | Mark Alan Shaw | Dentist | 2062 College Ave, Elmira Heights, NY 14903-1651 | 2006-08-15 |
| 1689608127 | Mark R Shaw | Emergency Medicine | 120 Radnor Rd, Ste 100, State College, PA 16801 | 2006-07-10 |
| 1952330433 | Mark Allen Shaw | Dentist | 113 Curry Hollow Rd, Suite 102, Pleasant Hills, PA 15236-4600 | 2006-06-30 |
| 1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
| 1295296903 | Mark M Shaw | Social Worker | 2495 Elmwood Ave, Kenmore, NY 14217-2222 | 2019-03-26 |
| 1639462013 | Mark A Shaw | Hearing Instrument Specialist | 925 E Pennsylvania Avenue, Suite H, Escondido, CA 92025 | 2011-05-18 |
| 1285954784 | Mark A Shaw | Pharmacist | 40 Watkins St, Nelsonville, OH 45764 | 2010-06-07 |
| 1154556918 | Mark M. Shaw | Psychologist | 1600 California Dr, Vacaville, CA 95687 | 2009-05-22 |
| Street Address |
402 SECOND ST. |
| City | BERNICE |
| State | LA |
| Zip Code | 71222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548219231 | Robert Brian Harris | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-09 |
| 1831144021 | Bernice Medical Associates,llc | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356850341 | Morgan Brazzel | Pharmacist | 417 E 4th Street, Bernice, LA 71222 | 2017-09-22 |
| 1124277728 | Ward 3 4 & 10 Hospital Service District | Family Medicine | 409 First Street, Bernice, LA 71222 | 2008-09-18 |
| 1174698005 | Bernice Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 101 Reeves Street, Bernice, LA 71222 | 2006-11-24 |
| 1912956772 | Lois A. Evans | Family Medicine | 402 Second Ave., Bernice, LA 71222 | 2006-05-09 |
| 1841809274 | The Bernice Pharmacy Inc | Pharmacy | 417 Main St, Bernice, LA 71222 | 2020-07-31 |
| 1295201242 | Gibbs Comprehensive Care, LLC | Community/Behavioral Health | 101 Reeves Street, Bernice, LA 71222 | 2018-10-17 |
| 1316039522 | The Bernice Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 417 Main St, Bernice, LA 71222 | 2006-09-28 |
| 1669431847 | Wards 3, 4 & 10 Hospital Service District Parish of Union | Clinic/Center | 402 2nd Street, Bernice, LA 71222-0302 | 2006-03-17 |
| 1811288111 | Leu Anne Prince | Counselor | 402 2nd St, Bernice, LA 71222-0302 | 2011-04-21 |
| 1447465075 | Wards 3 4 & 10 Hospital Service District Parish of Union | Medicare Defined Swing Bed Unit | 409 1st Street, Bernice, LA 71222-0697 | 2007-05-14 |
| Find all providers in zip 71222 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124277728 | Ward 3 4 & 10 Hospital Service District | Family Medicine | 409 First Street, Bernice, LA 71222 | 2008-09-18 |
| 1548219231 | Robert Brian Harris | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-09 |
| 1912956772 | Lois A. Evans | Family Medicine | 402 Second Ave., Bernice, LA 71222 | 2006-05-09 |
| 1205047610 | Dan Thompson | Family Medicine | 409 1st St, Bernice, LA 71222-4001 | 2007-05-25 |
| 1831144021 | Bernice Medical Associates,llc | Family Medicine | 402 Second St., Bernice, LA 71222 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060135 | Audubon Family Medicine LLC | Family Medicine | 2301 Moss St, Lafayette, LA 70501-2125 | 2020-10-15 |
| 1588270581 | Wk Palmetto Family Practice | Family Medicine | 4200 Palmetto Rd, Benton, LA 71006-9420 | 2020-09-16 |
| 1255941498 | Concierge Medical Services | Family Medicine | 4108 Vendome Pl, New Orleans, LA 70125-2739 | 2020-08-03 |
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1760005136 | Partners In Primary Care La PC | Family Medicine | 2900 E Texas St Ste 100, Bossier City, LA 71111-3275 | 2020-05-20 |
| 1871116244 | Partners In Primary Care La PC | Family Medicine | 537 Bertrand Dr Ste F0a, Lafayette, LA 70506-5556 | 2020-05-20 |
| 1578185781 | Prestige Medical Staffing and Marketing | Family Medicine | 4108 Vendome Place, New Orleans, LA 70125 | 2020-05-11 |
| 1487275939 | La Health Solutions-laplace LLC | Family Medicine | 1524 W Airline Hwy, La Place, LA 70068-3725 | 2020-05-06 |
| 1316575434 | Southern Healthcare of Louisiana | Family Medicine | 1340 Gause Blvd W, Slidell, LA 70460 | 2020-04-01 |
| 1780219907 | Shirley Ann Burns | Family Medicine | 1201 South St, Vinton, LA 70668-4509 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
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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.