GREGORY A. SHAW (NPI# 1154609766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154609766 |
| Entity Type | Individual |
| Full Name | GREGORY A. SHAW |
| Credential | M.D. |
| Practice Address |
2020 Court St Redding CA 96001-1822 |
| Mailing Address |
Po Box 492080 Redding CA 96049-2080 |
| Practice Telephone | 5302431236 |
| Practice Fax Number | 5302455949 |
| Mailing Telephone | 5302431236 |
| Mailing Fax Number | 5302455949 |
| Enumeration Date | 2011-07-30 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
50476 | KY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174938526 | Gregory Brian Shaw | Anesthesiology | 600 Grant St Fl 56, Pittsburgh, PA 15219-2730 | 2014-06-24 |
| 1063859700 | Gregory Don Shaw II | Veterinarian | 6920 Winchester Rd, Memphis, TN 38115-4420 | 2013-06-03 |
| 1841820834 | Gregory Scott Shaw | Registered Nurse | 7272 Macarthur Blvd, Oakland, CA 94605-2533 | 2020-01-19 |
| 1336684844 | Gregory Shaw | Assistant Behavior Analyst | 2400 Science Pkwy, Okemos, MI 48864-5506 | 2016-12-20 |
| 1073975835 | Gregory Augustine Shaw | Nurse Practitioner | 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308-5054 | 2016-03-22 |
| 1588081566 | Gregory Edward Shaw | Pediatrics | 217 Breckenridge Ln, Louisville, KY 40207-3858 | 2014-03-27 |
| 1538592340 | Gregory Glade Shaw | Student in an Organized Health Care Education/Training Program | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2013-08-15 |
| Street Address |
2020 COURT ST |
| City | REDDING |
| State | CA |
| Zip Code | 96001-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253010 | Douglas M Hughes | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-04-10 |
| 1851802565 | Md Imaging, Inc. | Clinic/Center | 2020 Court St, Redding, CA 96001-1822 | 2017-10-20 |
| 1811214257 | Dilan Samarawickrama | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2010-04-26 |
| 1710148937 | Jonathan Stanley Jewkes | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2008-06-20 |
| 1871751586 | James Welborn | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2008-05-29 |
| 1285758227 | Richard Montgomery | Nurse Practitioner | 2020 Court St, Ste110, Redding, CA 96001-1822 | 2007-03-16 |
| 1750393633 | Patricia Hadley | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-08-12 |
| 1447267513 | Gregory Campion | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-08-02 |
| 1003836263 | Stephen L Hofkin | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-07-20 |
| 1982624144 | Amjad A Rasheed | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841253010 | Douglas M Hughes | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-04-10 |
| 1104484492 | Paragon Imaging and Intervention Inc | Radiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-05-31 |
| 1598965550 | Advanced Imaging of Redding Inc | Radiology | 2380 Bechelli Ln, Redding, CA 96002-0144 | 2007-07-18 |
| 1003836263 | Stephen L Hofkin | Radiology | 2020 Court St, Redding, CA 96001-1822 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
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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.