MRS. CATHY BERRY SHAW (NPI# 1881920932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881920932 |
| Entity Type | Individual |
| Full Name | MRS. CATHY BERRY SHAW |
| Practice Address |
3585 Wendleton Ln Beavercreek OH 45432-2753 |
| Mailing Address |
3353 Stutsman Rd Bellbrook OH 45305-9792 |
| Practice Telephone | 9374268083 |
| Mailing Telephone | 9379125117 |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30.019277 | OH | Dental Providers |
| Street Address |
3585 WENDLETON LN |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-2753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982650560 | Jon R. Ewig, Dds, Inc. | Dentist | 3585 Wendleton Ln, Beavercreek, OH 45432-2753 | 2006-05-26 |
| 1720094246 | Jon Robert Ewig | Dentist | 3585 Wendleton Ln, Beavercreek, OH 45432-2753 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285041186 | Ahmad Ali Millwala Dmd Oral and Maxillofacial Surgery Co | Dentist | 2846 Double Eagle Dr, Beavercreek, OH 45431-4709 | 2014-07-14 |
| 1982650560 | Jon R. Ewig, Dds, Inc. | Dentist | 3585 Wendleton Ln, Beavercreek, OH 45432-2753 | 2006-05-26 |
| 1720094246 | Jon Robert Ewig | Dentist | 3585 Wendleton Ln, Beavercreek, OH 45432-2753 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740846559 | Daniel Schwartz, Dmd, Md, LLC | Dentist | 23250 Chagrin Blvd Ste 205, Beachwood, OH 44122-5416 | 2019-05-16 |
| 1649834144 | William W. Francis Dds, LLC | Dentist | 27500 Detroit Rd Ste 104, Suite 104, Westlake, OH 44145-5913 | 2019-04-30 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
| 1346685195 | Matthew Thomas Marshall | Dentist | 3075 Smith Rd Ste 102, Fairlawn, OH 44333-4453 | 2013-05-07 |
| 1629329198 | Amherst Oral Surgery and Implant Center LLC | Dentist | 550 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-09-25 |
| 1568710655 | Manraj S. Bath, Dds, Inc. | Dentist | 1575 Cross Creeks Blvd., Pickerington, OH 43147 | 2012-08-21 |
| 1467707018 | Matthew Aaron Popper | Dentist | 5825 Landerbrook Dr Ste 125, Cleveland, OH 44124 | 2012-07-19 |
| 1548534415 | Bushey Oral and Maxillofacial Surgery, Inc. | Dentist | 7081 West Blvd., Suite 1, Youngstown, OH 44512 | 2012-02-24 |
| 1528338704 | Timothy M. Lawrence, Dds, Ms, Inc. | Dentist | 4333 Monroe St Ste A, Toledo, OH 43606-1937 | 2012-01-05 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
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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.