LISA SHAW


Address: Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602
Phone: 8083527777

LISA SHAW (NPI# 1063859809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063859809
Entity Type Individual
Full Name LISA SHAW
Other Name LISA LHAW
Credential M.D.
Practice Address Bldg 10506 Euphrates River Valley Road
Connor Troop Medical Center, Fort Drum Ny
Apo
AA 13602
Mailing Address Bldg 10506 Euphrates River Valley Road
Connor Troop Medical Center
Fort Drum
NY 13602
Practice Telephone 8083527777
Mailing Telephone 8083527777
Enumeration Date 2013-06-03
Last Update Date 2017-02-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 28169 NE Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers LISA SHAW

NPI Name Taxonomy Address Enumeration
1497146229 Lisa Shaw Physical Therapist 659 Commercial St, Suite 101, San Francisco, CA 94111 2015-02-16
1164628152 Lisa Helms Shaw Physical Therapist 3302 Lantern Coach Ln Ne, Roswell, GA 30075-3195 2007-06-26
1245453356 Lisa M Shaw Physical Therapist 9729 N White Tail Trl, Stillman Valley, IL 61084-9401 2007-04-10
1629176938 Lisa Shaw Social Worker 2640 West Point Rd, Green Bay, WI 54304-1344 2006-09-20
1356321764 Lisa K Shaw Assistant, Podiatric 6100 Old Johnstown Rd, Harrisburg, PA 17112 2006-01-20
1154951317 Lisa Shaw Case Manager/Care Coordinator 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 2020-01-16
1952892366 Lisa Cindy Shaw Acupuncturist 1850 Fairway Dr, San Leandro, CA 94577-5629 2018-05-21
1902314404 Lisa Shaw Registered Nurse 930 Bethesda Dr, Zanesville, OH 43701-0815 2018-01-18
1417478199 Lisa Nicole Shaw Specialist/Technologist 12411 Slauson Ave, Whittier, CA 90606-2835 2017-07-03
1124473251 Lisa Shaw Counselor 602 N Walton Blvd, Bentonville, AR 72712-4576 2016-04-26

Office Location

Street Address BLDG 10506 EUPHRATES RIVER VALLEY ROAD
CONNOR TROOP MEDICAL CENTER, FORT DRUM NY
City APO
State AA
Zip Code 13602

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235697590 Joshua Lee Hickman Physician Assistant Bldg P10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2019-03-06
1447721345 Lisa Marie Lewis Social Worker 11044 Mount Belvedere Blvd, Fort Drum, NY 13602 2018-12-17
1720555253 Elizabeth M Hover Social Worker P11050 Mt Belvedere Blvd, Fort Drum, NY 13602 2018-11-02
1376037424 Phillip Dakotah Mitchell Physician Assistant 10020 Euphrates River Valley Road, Fort Drum, NY 13602 2018-06-20
1063902666 Guthrie Ahc Clinic/Center P19914 M3r Tampa, Fort Drum, NY 13602 2018-05-18
1255846879 Morgan Elizabeth Callari Dental Hygienist 10205 S Riva Ridge Loop, Fort Drum, NY 13602 2017-12-05
1609389097 John Charles Bockmann Physician Assistant Connor Troop Medical Clinic, 10506 Euphrates River Valley Rd, Fort Drum, NY 13602 2017-11-08
1902318207 Nicholas Andrew Jones Military Health Care Provider 10506 S. Riva Ridge, Fort Drum, NY 13602 2017-10-26
1508389198 Richard Scott Christiansen Physical Therapist 10330 S Riva Ridge Loop, Fort Drum, NY 13602 2017-07-25
1811418098 Emer B Bajuelos Dentist Ft Drum W07uaa 10590, Ft Drum, Apo, AP 13602 2017-06-28
Find all providers in zip 13602

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376070359 Daniel Ilwoo Park General Practice Building S-555, Apo, AP 96271 2017-05-22
1881052793 Victoria Okpala General Practice Bldg 9424 Battalion Ave, Apo, AA 76544 2016-02-05
1063883585 Charl Woo General Practice Usag Camp Humphreys, Bldg. # 3030, Apo, AP 96271 2015-10-09
1083029193 Francesann Hill General Practice 3214 East Santiago Avenue, Apo, AP 99703 2014-06-26
1316359417 Timothy A Gocke General Practice Camp Walker, Wood Clinic, Apo, AP 96218 2014-05-22
1942648787 Andre C. L. Liem General Practice Vilseck Scmh, Bldg 701, Apo, AE 09112 2013-06-13
1508203225 Charles Robert Blackwell General Practice Cmr 411 Box 1532, Apo, AE 09112-0016 2013-06-04
1982959771 Matthew Puderbaugh General Practice 86th Medical Group Unit 3215, Apo, AE 09094 2012-07-17
1740475151 Shimul Shah Patel General Practice Cmr 416 Box 799, Apo, AE 09140 2007-09-10
1326239559 Michael Alan Redd General Practice 501 Sbde, Hhc, Unit 15476, Box 146, Apo, AP 96260 2007-08-05
Find all providers in APO

Competitor

Search similar providers

City APO
Zip Code 13602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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