DR. MARK SHAW (NPI# 1245646637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245646637 |
| Entity Type | Individual |
| Full Name | DR. MARK SHAW |
| Credential | DMD |
| Practice Address |
15 Gosnell Xing Staunton VA 24401-6297 |
| Practice Telephone | 5402132244 |
| Mailing Telephone | 5402132244 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401415192 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588171557 | Mark Shaw | Social Worker | 5640 Teakwood Dr, Dalzell, SC 29040-9652 | 2017-12-29 |
| 1831202068 | Mark Alan Shaw | Dentist | 2062 College Ave, Elmira Heights, NY 14903-1651 | 2006-08-15 |
| 1689608127 | Mark R Shaw | Emergency Medicine | 120 Radnor Rd, Ste 100, State College, PA 16801 | 2006-07-10 |
| 1952330433 | Mark Allen Shaw | Dentist | 113 Curry Hollow Rd, Suite 102, Pleasant Hills, PA 15236-4600 | 2006-06-30 |
| 1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
| 1295296903 | Mark M Shaw | Social Worker | 2495 Elmwood Ave, Kenmore, NY 14217-2222 | 2019-03-26 |
| 1639462013 | Mark A Shaw | Hearing Instrument Specialist | 925 E Pennsylvania Avenue, Suite H, Escondido, CA 92025 | 2011-05-18 |
| 1285954784 | Mark A Shaw | Pharmacist | 40 Watkins St, Nelsonville, OH 45764 | 2010-06-07 |
| 1154556918 | Mark M. Shaw | Psychologist | 1600 California Dr, Vacaville, CA 95687 | 2009-05-22 |
| 1841216744 | Mark E Shaw | Social Worker | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-07-14 |
| Street Address |
15 GOSNELL XING |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-6297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457308660 | Brian T Brumbaugh | Dentist | 15 Gosnell Crossing, Staunton, VA 24401 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| 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.