LISA SHAW (NPI# 1063859809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
BLDG 10506 EUPHRATES RIVER VALLEY ROAD CONNOR TROOP MEDICAL CENTER, FORT DRUM NY |
City | APO |
State | AA |
Zip Code | 13602 |
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 Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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 |
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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.