Toria M Shaw (NPI# 1790077691, PAC ID# 2466625066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790077691 |
| PAC ID by PECOS | 2466625066 |
| Professional Enrollment ID | I20111026000673 |
| Full Name | Toria M Shaw |
| Organization Legal Name | AARON E HENRY COMMUNITY HEALTH |
| Address |
1820 Peabody Ave Tunica MS 38676-9441 |
| Phone Number | 6623633656 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1153230560 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| Address | Phone | Organization |
|---|---|---|
| 1820 Peabody Ave, Tunica, MS 38676-9441 | 6623633656 | AARON E HENRY COMMUNITY HEALTH |
| Organization Legal Name | AARON E HENRY COMMUNITY HEALTH |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Undra L Haggan | Nurse Practitioner | Aaron E Henry Community Health | 510 Hwy 322, Clarksdale, MS 38614-4717 |
| Marcia R Garrett | Nurse Practitioner | Aaron E Henry Community Health | 216 Hwy 51 N, Batesville, MS 38606-2311 |
| Jamie Birge | Nurse Practitioner | Aaron E Henry Community Health | 1820 Peabody St, Tunica, MS 38676-9441 |
| Billy James Brown | Physician Assistant | Aaron E Henry Community Health | 1040 Desoto Ave, Clarksdale, MS 38614-6933 |
| Sidney M Wilson | Optometry | Aaron E Henry Community Health | 800 Ohio Ave, Clarksdale, MS 38614-7200 |
| Sheon H Mendoza | Internal Medicine | Aaron E Henry Community Health | 800 Ohio Ave, Clarksdale, MS 38614-7200 |
| Anthony Newson | Nurse Practitioner | Aaron E Henry Community Health | 800 Ohio Ave, Clarksdale, MS 38614-7200 |
| Mary Burnett | Nurse Practitioner | Aaron E Henry Community Health | 216 Hwy 51 N, Batesville, MS 38606-2311 |
| William L Booker | Family Medicine | Aaron E Henry Community Health | 800 Ohio Ave, Clarksdale, MS 38614-7200 |
| Erma Jean Hawkins | Nurse Practitioner | Aaron E Henry Community Health | 800 Ohio Ave, Clarksdale, MS 38614-7200 |
| Street Address |
1820 PEABODY AVE |
| City | TUNICA |
| State | MS |
| Zip | 38676-9441 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jamie Birge | Nurse Practitioner | Aaron E Henry Community Health | 1820 Peabody St, Tunica, MS 38676-9441 |
| City | TUNICA |
| Zip Code | 38676 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TUNICA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Toria M Shaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.