Miles R Shaw (NPI# 1891724878, PAC ID# 4789659681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1891724878 |
| PAC ID by PECOS | 4789659681 |
| Professional Enrollment ID | I20040901001126 |
| Full Name | Miles R Shaw |
| Organization Legal Name | STEPHEN R SHEA MD INC |
| Address |
1300 W 7th St San Pedro CA 90732-3505 |
| Phone Number | 3105145350 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7416854377 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050078 | PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO |
| Address | Phone | Organization |
|---|---|---|
| 1300 W 7th St, San Pedro, CA 90732-3505 | 3105145350 | STEPHEN R SHEA MD INC |
| Organization Legal Name | STEPHEN R SHEA MD INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neel Shah | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Arlene M Vernon | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Alex D Doo | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Aja Castillo | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Bryce K Fukunaga | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Mary A Costa | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Marina N Estrada | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Telia N Deboyes | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Knef V Lizaso | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Angela Kay Woelffer | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Street Address |
1300 W 7TH ST |
| City | SAN PEDRO |
| State | CA |
| Zip | 90732-3505 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neel Shah | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Israel J Hernandez-arce | Internal Medicine | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Steven Kwon | Internal Medicine | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Gayne Marie Brenneman-slay | Anesthesiology | New Line Anesthesia Services Inc | 1300 W 7th St, Providence Little Company of Mary Medica, San Pedro, CA 90732-3505 |
| Mehdi Hemmat | Obstetrics/gynecology | Providence Medical Institute | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Alex D Doo | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Aja Castillo | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Bryce K Fukunaga | Emergency Medicine | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Mary A Costa | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Marina N Estrada | Nurse Practitioner | Stephen R Shea Md Inc | 1300 W 7th St, San Pedro, CA 90732-3505 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Enrique Santana | Chiropractic | 28122 S Western Ave, San Pedro, CA 90732-1248 | |
| Lawrence Marshall | Optometry | 28142 S Western Ave, San Pedro, CA 90732-1248 | |
| Lawrence B Greenberg | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Keri Sharona Hyatt Wardwell | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Crescenzo Pisano | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Patricio Clavecillas | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Olga M Calof | Endocrinology | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Terry T Ishihara | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Aeree Yoon | Internal Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Andres Jimenez | Family Medicine | Providence Medical Institute | 1499 W 1st St, San Pedro, CA 90732-3255 |
| Find all physicians in zip 90732 | |||
| City | SAN PEDRO |
| Zip Code | 90732 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SAN PEDRO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Miles R 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.