GARY Y. SHAW


Address: 180 S Main St, Canton, IL 61520-2608
Phone: 3096470201

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YX0905X Otolaryngology
Specialization: Otolaryngology/Facial Plastic Surgery
109774 MO Allopathic & Osteopathic Physicians

Other Providers GARY SHAW

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

Office Location

Street Address 180 S MAIN ST
City CANTON
State IL
Zip Code 61520-2608

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 207YX0905X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Otolaryngology/Facial Plastic Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

Competitor

Search similar providers

City CANTON
Zip Code 61520

Improve Information

Please comment or provide details below to improve the information on GARY Y. SHAW.

Dataset Information

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.

Trending Searches