DR. KATHARINA STEPHANIE SHAW (NPI# 1235633637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235633637 |
| Entity Type | Individual |
| Full Name | DR. KATHARINA STEPHANIE SHAW |
| Credential | MD |
| Practice Address |
100 Blackthorn Rd Wallingford PA 19086 |
| Mailing Address |
1275 York Ave New York NY 10065-6007 |
| Practice Telephone | 2059192087 |
| Mailing Telephone | 2126392000 |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Blackthorn Rd, Wallingford, PA 190866047 | 2059192087 |
| Street Address |
100 BLACKTHORN RD |
| City | WALLINGFORD |
| State | PA |
| Zip Code | 19086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780168997 | Cara Grace Termini | Speech-Language Pathologist | 315 Prichard Ln, Wallingford, PA 19086 | 2018-09-24 |
| 1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
| 1265853709 | Tamar V Jefferis | Internal Medicine | 19 N. Providence Road, Box 267, Wallingford, PA 19086 | 2013-12-31 |
| 1396052460 | Sabina Sharmeen | Internal Medicine | 1161, Putnam Boulovard, Wallingford, PA 19086 | 2010-09-09 |
| 1790922789 | Carol Lecleire | Dentist | 9 Dale Lane, Wallingford, PA 19086 | 2009-01-13 |
| 1104885995 | Wallingford-swarthmore Sd | Speech-Language Pathologist | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-03-21 |
| 1700841780 | Wallingford Swarthmore Sd | Clinic/Center | 200 South Providence Rd, Wallingford, PA 19086-3817 | 2006-04-20 |
| 1477890317 | Alison S. Neuhaus | Lactation Consultant, Non-RN | 305 Dogwood Ln, Wallingford, PA 19086-6007 | 2013-01-11 |
| 1881648095 | Amir Katz | Physical Medicine & Rehabilitation | 303 Plush Mill Rd, Wallingford, PA 19086-6022 | 2006-05-20 |
| 1205062668 | Linda Jean Echols | Nurse Practitioner | 411 Plush Mill Rd, Wallingford, PA 19086-6024 | 2009-05-29 |
| Find all providers in zip 19086 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071514 | Stephanie Madlener | Student in an Organized Health Care Education/Training Program | 3 Munson Dr Unit 7, Wallingford, CT 06492-5370 | 2020-04-09 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1891277034 | Peter Robert Deeb | Student in an Organized Health Care Education/Training Program | 507 W Brookhaven Rd, Wallingford, PA 19086-6713 | 2018-09-04 |
| 1326412446 | Reagan Wentzell | Student in an Organized Health Care Education/Training Program | 49 High St, Wallingford, CT 06492-3120 | 2015-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1356942825 | Aisha Ghauri | Student in an Organized Health Care Education/Training Program | 645 Springhouse Ln, Hummelstown, PA 17036-7009 | 2020-11-02 |
| 1891395828 | Roopali Mahajan | Student in an Organized Health Care Education/Training Program | 4101 Spruce St Apt 108, Philadelphia, PA 19104-4059 | 2020-10-28 |
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1093313157 | Betty M Beimel | Student in an Organized Health Care Education/Training Program | 5966 Route 66, Kane, PA 16735-3434 | 2020-10-12 |
| 1104432616 | Zach Quince | Student in an Organized Health Care Education/Training Program | 370 Birch St, Imperial, PA 15126-1158 | 2020-09-20 |
| 1073129862 | Philip Andrus | Student in an Organized Health Care Education/Training Program | 3420 Forbes Ave Fl 2, Pittsburgh, PA 15213-3203 | 2020-09-17 |
| 1992310049 | Rachana Amin | Student in an Organized Health Care Education/Training Program | 12 Fitzgerald Dr, Moosic, PA 18507-2105 | 2020-09-14 |
| 1992310767 | Natasha Ann Parrish | Student in an Organized Health Care Education/Training Program | Millersville University, School of Social Work, Strayer, 37 W. Frederick Street, Millersville, PA 17551 | 2020-09-09 |
| 1205440138 | Beth Ann Wagner | Student in an Organized Health Care Education/Training Program | 1444 E Main St, Douglassville, PA 19518-9116 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 19086 |
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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.