Matthew A Shaw (NPI# 1952701518, PAC ID# 2961762828) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1952701518 |
| PAC ID by PECOS | 2961762828 |
| Professional Enrollment ID | I20180214001694 |
| Full Name | Matthew A Shaw |
| Organization Legal Name | ICCO LLC |
| Address |
355 W 3rd Ave Junction City OR 97448-1313 |
| Phone Number | 5419986750 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355406729 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380102 | SACRED HEART MEDICAL CENTER - RIVERBEND |
| Address | Phone | Organization |
|---|---|---|
| 355 W 3rd Ave, Junction City, OR 97448-1313 | 5419986750 | ICCO LLC |
| Organization Legal Name | ICCO LLC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda M Bono | Nurse Practitioner | Icco LLC | 4480 Hwy 101 N, Florence, OR 97439 |
| Martin R Roco | Nurse Practitioner | Icco LLC | 1445 Gateway Blvd, Cottage Grove, OR 97424-1224 |
| Jessica L Guido | Nurse Practitioner | Icco LLC | 1740 Nw Goetz St, Roseburg, OR 97471-1613 |
| Cynthia J Smith | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Lyle R Torguson | Family Medicine | Icco LLC | 35859 Hwy 58, Pleasant Hill, OR 97455-9651 |
| Cynthia Renee Voegeli | Nurse Practitioner | Icco LLC | 1800 Coburg Rd, Eugene, OR 97401-4995 |
| Trina J Viner | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Mildred H Rowley | Family Medicine | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Nathaniel J Collins | Physician Assistant | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Erin P Cassidy | Nurse Practitioner | Icco LLC | 598 E 13th Ave, Eugene, OR 97401-4783 |
| Street Address |
355 W 3RD AVE |
| City | JUNCTION CITY |
| State | OR |
| Zip | 97448-1313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| H Theresa Porter | Optometry | 355 W 3rd Ave, Unit 2, Kettle Falls, WA 99141-8620 | |
| Ronald J Fredrickson | Chiropractic | 355 W 3rd Ave, Kettle Falls, WA 99141-8620 | |
| Susan L Ridlington | Physical Therapy | 355 W 3rd Ave, Kettle Falls, WA 99141-0788 | |
| Douglas D Bailey | Family Medicine | Icco LLC | 355 W 3rd Ave, Junction City, OR 97448-1313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William D Rowe | Optometry | Oregon Eye Docs LLC | 707 Greenwood St, Junction City, OR 97448-1627 |
| Paul M Wehner | Optometry | Sterling Vision PC | 707 Greenwood St, Junction City, OR 97448-1627 |
| James E Sharp | Optometry | Sterling Vision PC | 707 Greenwood St, Junction City, OR 97448-1627 |
| Jolynn M Stroda | Physical Therapy | Oregon Neurosport Physical Therapy | 680 Ivy St, Junction City, OR 97448-1636 |
| Michael Howard Baum | Physical Therapy | Oregon Neurosport Physical Therapy | 680 Ivy St, Junction City, OR 97448-1636 |
| Ruth Conway Will | Physical Therapy | Oregon Neurosport Physical Therapy | 680 Ivy St, Junction City, OR 97448-1636 |
| Andrew Mcabery | Physical Therapy | Oregon Neurosport Physical Therapy | 680 Ivy St, Junction City, OR 97448-1636 |
| Robin A Albert | Chiropractic | 455 W 6th Ave, Junction City Chiropractic, Junction City, OR 97448-1670 | |
| Becky Lynn Rainwater | Physical Therapy | 540 W 10th Ave, Junction City, OR 97448-1726 |
| City | JUNCTION CITY |
| Zip Code | 97448 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JUNCTION CITY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Matthew A 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.