DR. JONATHAN SHAW (NPI# 1912498874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912498874 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN SHAW |
| Credential | MD |
| Practice Address |
2799 W Grand Blvd Detroit MI 48202-2689 |
| Practice Telephone | 3139167520 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301114975 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579116 | Jonathan David Shaw | Psychiatry & Neurology | 2911 Brunswick Road, Memphis, TN 38133 | 2006-09-19 |
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1922467661 | Jonathan Shaw | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2016-02-22 |
| 1760897565 | Jonathan Shaw | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2014-07-01 |
| 1114331923 | Jonathan Shaw | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2014-06-19 |
| 1841574753 | Jonathan D Shaw | Social Worker | 242 Brunswick St, Old Town, ME 04468-1613 | 2011-10-11 |
| 1356672794 | Jonathan Stephen Shaw | Obstetrics & Gynecology | One Medical Center Drive, Obstetrics & Gynecology, Lebanon, NH 03756-0001 | 2010-01-25 |
| 1073709143 | Jonathan Shaw | Physical Therapist | 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532 | 2007-09-21 |
| 1265631709 | Jonathan G. Shaw | Family Medicine | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2007-07-14 |
| 1144264284 | Jonathan Thomas Shaw | Physical Therapist | 3220 Dunwoodie Rd, Ann Arbor, MI 48105-4113 | 2006-06-16 |
| Street Address |
2799 W GRAND BLVD |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132069 | Donna Prince | Radiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2005-05-24 |
| 1790386704 | Alexandria L Blevins | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-05 |
| 1255932430 | Amy Katlyn Carion | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-11-04 | |
| 1871194415 | Alexandria Denise Roberts | Physical Therapist | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-11-02 |
| 1174121420 | John Charles Sanno | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2020-10-09 |
| 1932706991 | Fallon J Awe | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-02 |
| 1922615145 | Chelsea Elizabeth Owen | Nurse Anesthetist, Certified Registered | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1275130395 | Zana Latkovac | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-10-01 |
| 1487260030 | Jessica Lee Moret | Nurse Practitioner | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-18 |
| 1932713237 | Lucas Costa Santos | Anesthesiology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2020-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1225582323 | Markian Andrew Pahuta | Orthopaedic Surgery | 2799 W Grand Blvd # K-12, Henry Ford Health System, Orthopaedics, Detroit, MI 48202-2608 | 2016-08-08 |
| 1780926816 | Steven Slotkin | Orthopaedic Surgery | 3901 Beaubien St Fl 1, Detroit, MI 48201 | 2013-03-27 |
| 1114236171 | Kerellos Athanacios-nabeh Nasr | Orthopaedic Surgery | 4201 Saint Antoine St # 6d5.5, Detroit, MI 48201-2153 | 2010-09-24 |
| 1639341076 | Wallace Emanuel Johnson | Orthopaedic Surgery | 273 Leeward Ct, Detroit, MI 48207-5053 | 2008-03-26 |
| 1043386410 | Terrence R. Lock | Orthopaedic Surgery | Henry Ford Hospital Fitness Cn, 6525 Second Street, Detroit, MI 48202 | 2006-11-28 |
| 1477593937 | Michael Patrick Mott | Orthopaedic Surgery | University Health Center Ste 6a, 4707 St Antoine, Detroit, MI 48201 | 2006-06-06 |
| 1255379988 | Robert Meehan | Orthopaedic Surgery | 311 Mack Ave Fl 5, Detroit, MI 48201-2466 | 2006-06-03 |
| 1699747543 | Ferras Zeni | Orthopaedic Surgery | 2799 West Grand Blvd, Orthopedic Surgery, K-12, Detroit, MI 48202 | 2006-02-05 |
| 1013537638 | Daniel Ray Cavazos | Orthopaedic Surgery | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2020-04-23 |
| Find all providers in DETROIT | ||||
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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.