Garret T Shaw (NPI# 1871566695, PAC ID# 8820983570) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1871566695 |
| PAC ID by PECOS | 8820983570 |
| Professional Enrollment ID | I20040220000241 |
| Full Name | Garret T Shaw |
| Organization Legal Name | LAKES REGIONAL HEALTHCARE |
| Address |
2301 Hwy 71 Spirit Lake IA 51360-1184 |
| Phone Number | 7123368793 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 0941118442 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 281313 | GOTHENBURG MEMORIAL HOSPITAL |
| 281327 | COZAD COMMUNITY HOSPITAL |
| 160005 | ST ANTHONY REGIONAL HOSPITAL |
| 160124 | LAKES REGIONAL HEALTHCARE |
| 280065 | GREAT PLAINS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 114 N Main St, Brady, NE 69123-2749 | 3085843770 | GOTHENBURG MEMORIAL HOSPITAL |
| 114 N Main St, Brady Clinic, Brady, NE 69123-2749 | 3085843770 | GOTHENBURG MEMORIAL HOSPITAL |
| 311 S Clark St, Carroll, IA 51401-3038 | 7127923581 | ST ANTHONY REGIONAL HOSPITAL AND NURSING HOME |
| 910 20th St, Gothenburg, NE 69138-1237 | 3085373661 | GOTHENBURG MEMORIAL HOSPITAL |
| 2301 Hwy 71, Spirit Lake, IA 51360-1184 | 7123368793 | LAKES REGIONAL HEALTHCARE |
| Organization Legal Name | LAKES REGIONAL HEALTHCARE |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley R Meyer | Family Medicine | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Richard L Mishler | Certified Registered Nurse Anesthetist | Lakes Regional Healthcare | Hwy 71 S, Spirit Lake, IA 51360-0159 |
| Brenda Kraft | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Jessica Lynn Kelley | Nurse Practitioner | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Zachary Borus | Family Medicine | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Ojiaku B Ikezuagu | Family Medicine | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Glenn G Preston | Hematology/oncology | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Jeffrey J Goerss | Family Medicine | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Brett J Olson | Family Medicine | Lakes Regional Healthcare | 2700 23rd St, Spirit Lake, IA 51360-1158 |
| Lisa C Van Kley | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Street Address |
2301 HWY 71 |
| City | SPIRIT LAKE |
| State | IA |
| Zip | 51360-1184 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda Kraft | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Ojiaku B Ikezuagu | Family Medicine | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Lisa C Van Kley | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Tu Anh Thi Luong | Emergency Medicine | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| David L Ruzicka | Family Medicine | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Nina Jean Rohling | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Essien U Ekong | Hospitalist | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Charles E Barry | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Steven L Baskerville | Family Medicine | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Kim N Hurtig | Certified Registered Nurse Anesthetist (crna) | Lakes Regional Healthcare | 2301 Hwy 71, Spirit Lake, IA 51360-1184 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard L Mishler | Certified Registered Nurse Anesthetist | Lakes Regional Healthcare | Hwy 71 S, Spirit Lake, IA 51360-0159 |
| Robert M Smith | Allergy/immunology | Highway 71 S Po Ab, Spirit Lake, IA 51360-0159 | |
| Kelly J Norland | Optometry | Eyecare Centre | 2312 23rd St, Spirit Lake, IA 51360-1044 |
| Randall F Cornwall | Optometry | Eyecare Centre | 2312 23rd St, Spirit Lake, IA 51360-1044 |
| Larry A Dixon | Chiropractic | Dixon Family Chiropractic PC | 2007 18th St, Suite 1, Spirit Lake, IA 51360-1061 |
| Adelee A Dixon | Chiropractic | Dixon Family Chiropractic PC | 2007 18th St, Suite 1, Spirit Lake, IA 51360-1061 |
| Aaron W Dixon | Chiropractic | Dixon Family Chiropractic PC | 2007 18th St, Suite 1, Spirit Lake, IA 51360-1061 |
| Crystal E Meyer | Nurse Practitioner | 2704 Enterprise Ave, Spirit Lake, IA 51360-1073 | |
| Kyle L Ingwersen | Physical Therapy | Hometown Physical Therapy Holding Company LLC | 1380 Lake St, Spirit Lake, IA 51360-1100 |
| Jason Hamm | Chiropractic | 1330 Lake St, Spirit Lake, IA 51360-1100 | |
| Find all physicians in zip 51360 | |||
| City | SPIRIT LAKE |
| Zip Code | 51360 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SPIRIT LAKE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Garret T 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.