Neil Thomas Shaw (NPI# 1144267758, PAC ID# 5890729982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1144267758 |
| PAC ID by PECOS | 5890729982 |
| Professional Enrollment ID | I20050919000502 |
| Full Name | Neil Thomas Shaw |
| Organization Legal Name | ANTHONY V BENENATI DPM PC |
| Address |
21000 E 12 Mile Rd Saint Clair Shores MI 48081-1116 |
| Phone Number | 5864475055 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8820021975 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| Address | Phone | Organization |
|---|---|---|
| 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 5864475055 | ANTHONY V BENENATI DPM PC |
| 27593 Harper Ave, St Clair Shores, MI 48081-1923 | 5867796140 | ANTHONY V BENENATI DPM PC |
| 11800 E 12 Mile Rd, St John Macomb Oakland Hospital, Warren, MI 48093-3472 | 5865735000 | ANTHONY V BENENATI DPM PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 96% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 50% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 93% |
| Organization Legal Name | ANTHONY V BENENATI DPM PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Philip M Watkins | Podiatry | Anthony V Benenati Dpm PC | 27593 Harper Ave, St Clair Shores, MI 48081-1923 |
| Anthony Vito Benenati | Podiatry | Anthony V Benenati Dpm PC | 17700 23 Mile Rd, Macomb, MI 48044-1154 |
| Adam P Thompson | Podiatry | Anthony V Benenati Dpm PC | 27593 Harper Ave, St Clair Shores, MI 48081-1923 |
| Street Address |
21000 E 12 MILE RD |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-1116 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Jennifer Kay Appleyard | Internal Medicine | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Renee S Hoelzeman | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Joyce C Purakal | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| William A Ventimiglia | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Suite 100, Saint Clair Shores, MI 48081-1156 |
| Eric W Sargent | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Majed A Rammouni | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 St John Eastside, St Clair Shores, MI 48081-1156 |
| Thomas R Hartzell | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Heidi L Rohloff | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Sean Anthony Cassleman | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 Lakeside Internal Medicine, St Clair Shores, MI 48081-1156 |
| Andrew M Staricco | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | PODIATRY |
| City + Specialty | SAINT CLAIR SHORES + PODIATRY |
Please comment or provide details below to improve the information on Neil Thomas 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.