DR. JEREMY SHAW (NPI# 1154526192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154526192 |
| Entity Type | Individual |
| Full Name | DR. JEREMY SHAW |
| Credential | M.D. |
| Practice Address |
Duke Eye Center Dumc 3802 Durham NC 27710-0001 |
| Mailing Address |
25825 Vermont Ave Harbor City CA 90710 |
| Practice Telephone | 9196843316 |
| Mailing Telephone | 4243282717 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
75371 | GA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
DR.0058675 | CO | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
A113627 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995771 | Jeremy Michael Shaw | Specialist/Technologist | 145 Main St, Durham, NH 03824-3572 | 2019-10-30 |
| 1770859654 | Jeremy Dewitt Shaw | Orthopaedic Surgery | 500 Parnassus Ave, Mu 320, San Francisco, CA 94143-2203 | 2012-03-26 |
| Street Address |
DUKE EYE CENTER DUMC 3802 |
| City | DURHAM |
| State | NC |
| Zip Code | 27710-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1437656717 | Hugh Khoi Quach | Student in an Organized Health Care Education/Training Program | 2301 Erwin Road, Durham, Durham, NC 27710 | 2018-04-12 |
| 1154827046 | Shannon M Beeley | Registered Nurse | Duke Rheumatology Clinic 40 Medicine Circle Cinic 1j, Durham, NC 27710 | 2018-04-01 |
| 1669902862 | Hilary Kristina Dietz | Student in an Organized Health Care Education/Training Program | 30 Duke Medicine Circle Drive, Morris Building Room 25169, Durham, NC 27710 | 2017-06-20 |
| 1174071443 | Gabriel Streisfeld | Physical Therapist | 2301 Erwin Rd Dumc 3965, Durham, NC 27710 | 2016-09-15 |
| 1568810505 | Amber Mcvey | Nurse Practitioner | 04276 Hospital South Box 3677, Durham, NC 27710 | 2016-06-01 |
| 1891149696 | Tiziana T Coppola | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27710 | 2016-04-18 |
| 1568822864 | Nicole Smith | Nurse Practitioner | 2301 Erwin Rd Box 3116, Durham, NC 27710 | 2016-02-29 |
| 1548656150 | Jesse David Rhodes | Hospitalist | Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 | 2015-04-09 |
| Find all providers in zip 27710 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922457464 | Oleg Alekseev | Ophthalmology | 2351 Erwin Rd, Durham, NC 27705-4699 | 2016-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689048423 | Central Triad Retina, Pa | Ophthalmology | 3333 Brookview Hills Blvd, Suite 107, Winston Salem, NC 27103-5661 | 2015-11-17 |
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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.