GARY Y. SHAW (NPI# 1912940958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912940958 |
Entity Type | Individual |
Full Name | GARY Y. SHAW |
Credential | M.D. |
Practice Address |
180 S Main St Canton IL 61520-2608 |
Practice Telephone | 3096470201 |
Practice Fax Number | 3096496880 |
Mailing Telephone | 3096470201 |
Mailing Fax Number | 3096495101 |
Enumeration Date | 2006-06-14 |
Last Update Date | 2016-04-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
109774 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669667911 | Gary Marshall Shaw | Social Worker | 1511 W Saint Johns Ave, Austin, TX 78757-1819 | 2007-09-10 |
1477689529 | Gary Shaw | Physical Therapist | 3218 18th St Nw, Washington, DC 20010-1002 | 2007-02-25 |
1215026612 | Gary Graham Shaw | Dentist | 435 W 600 N, Tremonton, UT 84337-2411 | 2006-10-12 |
1245576420 | Gary Shaw | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2012-12-17 |
1154587087 | Gary R Shaw | Dentist | 4103 Bridgeport Way W, Ste A, University Place, WA 98466-4300 | 2008-07-30 |
1568542306 | Gary Thomas Shaw | Radiology | 121 Sotoyome St, Santa Rosa, CA 95405-4823 | 2006-10-16 |
1013921154 | Gary H Shaw | Internal Medicine | 416 Connable Ave, Petoskey, MI 49770-2212 | 2006-07-27 |
Street Address |
180 S MAIN ST |
City | CANTON |
State | IL |
Zip Code | 61520-2608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891794004 | Brent D Parry | Podiatrist | 180 S Main St, Canton, IL 61520-2608 | 2005-07-19 |
1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
1063976058 | Jessica Lynn Bugos | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2019-01-24 |
1366911497 | Rebekah Ridgeway | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-11-19 |
1851891071 | Lacey N Mcmahill | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-14 |
1205335510 | Cody J. Gibbs | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2018-02-02 |
1699204750 | Breann Shalene Farr | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2017-06-12 |
1609305390 | Karen Hahn | Social Worker | 180 S Main St, Canton, IL 61520-2608 | 2017-06-07 |
1346693504 | Kyle Mccarthy | Nurse Practitioner | 180 S Main St, Canton, IL 61520-2608 | 2016-07-22 |
1407201940 | Alyssa Crawford | Obstetrics & Gynecology | 180 S Main St, Canton, IL 61520-2608 | 2016-05-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497978480 | Walton Cs-xi P.C. | Chiropractor | 410 E. Elm Street, Canton, IL 61520 | 2007-04-10 |
1811912918 | Jennifer Christine Daniel-price | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2006-07-12 |
1245216241 | Fulton County Health Department | Clinic/Center | 700 East Oak Street, Canton, IL 61520 | 2005-12-21 |
1124482252 | Ryan Deushane | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-04-05 |
1750749826 | Shawn Michael Wynn | Nurse Anesthetist, Certified Registered | 210 W Walnut St, Canton, IL 61520 | 2016-02-04 |
1417312232 | Danielle Marianna Sausaman | Dietitian, Registered | 210 W Walnut St, Graham Hospital Food and Nutrition Services, Canton, IL 61520 | 2015-12-21 |
1740533835 | Abby L. Sherwood | Chiropractor | 410 E Elm Street, Canton, IL 61520 | 2012-10-26 |
1619375532 | Brittany Nicole Miller | Nurse Practitioner | 1300 E Locust St, Canton, IL 61520-0008 | 2014-12-09 |
1437197845 | Heartland of Canton Il LLC | Clinic/Center | 2081 N Main St, Canton, IL 61520-1032 | 2006-06-04 |
1568063428 | Mary J Eberle | Pharmacist | 2071 N Main St, Canton, IL 61520-1032 | 2020-11-05 |
Find all providers in zip 61520 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326338526 | Sudeep Roy | Otolaryngology | 1640 N Arlington Heights Rd Ste 210, Arlington Heights, IL 60004-3985 | 2011-04-10 |
1487834958 | Ryan C Vaughn | Otolaryngology | 814 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2007-11-13 |
1023214426 | Otolaryngology Associates Sc | Otolaryngology | 233 E Erie St Ste 804, Chicago, IL 60611-2906 | 2007-06-22 |
1982769717 | Anthony James Geroulis | Otolaryngology | 330 West Frontage Rd., Northfield, IL 60093 | 2006-12-22 |
1821191404 | Gary G Wiesman | Otolaryngology | 712 N Dearborn St, Chicago, IL 60654-3846 | 2006-09-07 |
1912926205 | Bryan W Rubach | Otolaryngology | 2040 Ogden Ave Ste 301, Aurora, IL 60504-7205 | 2006-07-18 |
1609805985 | Howard Shane Kotler | Otolaryngology | 2555 S. Martin Luther King Dr., Chicago, IL 60616 | 2006-06-30 |
1447288303 | Thomas E. Turcotte Jr. | Otolaryngology | 215 E. 1st St., Suite #315, Ksb Medical Group, Dixon, IL 61021 | 2006-06-29 |
1477184562 | Chicago Nose and Sinus LLC | Otolaryngology | 680 N Lake Shore Dr Ste 1425, Chicago, IL 60611-4451 | 2020-01-28 |
1780935197 | Jeffrey Ryan Sparks | Otolaryngology | 515 E Grant St, Suite 113, Macomb, IL 61455-3368 | 2012-09-25 |
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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.