REBECCA D SHAW (NPI# 1275772667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275772667 |
| Entity Type | Individual |
| Full Name | REBECCA D SHAW |
| Credential | CFA |
| Practice Address |
3630 E Louise Dr Meridian ID 83642-7975 |
| Practice Telephone | 2083779515 |
| Mailing Telephone | 2083779515 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
M-8189 | ID | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1326392218 | Rebecca Shaw | Licensed Practical Nurse | 8617 State Route 47 W, De Graff, OH 43318-9714 | 2012-10-31 |
| 1629277298 | Rebecca Sue Shaw | Counselor | 5127 Kensington Way, Las Cruces, NM 88012 | 2007-07-13 |
| 1750410585 | Rebecca Marie Shaw | Counselor | 9535 W Lake Dr, Eagle River, AK 99577-9568 | 2007-03-05 |
| 1427192103 | Rebecca Lynn Shaw | Social Worker | 80 Van Dam St 2nd Fl, Fegs Manhattan Mh Clinic, New York, NY 10013 | 2007-02-16 |
| 1316572902 | Rebecca Ann Shaw | Nurse Practitioner | 3105 Limestone Rd Ste 301, Wilmington, DE 19808-2156 | 2020-03-04 |
| 1699338277 | Rebecca Shaw | Behavior Technician | 1201 Pacific Ave Ste 600, Tacoma, WA 98402-4384 | 2019-04-18 |
| 1417424870 | Rebecca Madeleine Shaw | Social Worker | 743 E 9th St, New York, NY 10009-5335 | 2018-10-24 |
| 1073934584 | Rebecca Shaw | Community Health Worker | 356 7th St, San Francisco, CA 94103-4030 | 2013-12-31 |
| 1922346253 | Rebecca Shaw | Counselor | 108 E Ponce De Leon Ave, Suite 208, Decatur, GA 30030-2512 | 2013-01-22 |
| Street Address |
3630 E LOUISE DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-7975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479476 | Meadow Lake Surgery Center Inc | Clinic/Center | 3630 E Louise Dr, Suite 200, Meridian, ID 83642-7975 | 2007-10-18 |
| 1194285718 | Jt Anesthesia Services Pllp | Nurse Anesthetist, Certified Registered | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2019-03-20 |
| 1689914186 | Ep Services LLC | Nurse Anesthetist, Certified Registered | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2013-02-20 |
| 1508197666 | Chamagne Janae Eaton | Specialist/Technologist, Other | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2010-01-28 |
| 1871749408 | Jacqueline King | Clinic/Center | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2008-08-14 |
| 1679751770 | Mark D. Wigod, Md, Pa | Surgery | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588877641 | John Arthur Jarrell Iv | Surgery | 3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 | 2007-05-07 |
| 1427086164 | Mark David Wigod | Surgery | 3630 E Louise Drive, Meridian, ID 83642 | 2006-06-29 |
| 1477195931 | Jarrell Plastic Surgery | Surgery | 3090 E Gentry Way Ste 210, Meridian, ID 83642-3550 | 2019-10-16 |
| 1679751770 | Mark D. Wigod, Md, Pa | Surgery | 3630 E Louise Dr, Meridian, ID 83642-7975 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523968 | Q17 Health Partners LLC | Surgery | 100 East Idaho Street #317, Boise, ID 83712 | 2018-10-11 |
| 1265656268 | David William Becker Jr. | Surgery | 668 Ballingrude Dr, Twin Falls, ID 83301-4403 | 2007-04-12 |
| 1912046210 | Center for Aesthetics PC | Surgery | 2375 E Sunnyside Road, Suite G, Idaho Falls, ID 83404 | 2007-02-05 |
| 1073668042 | Thomas Floyd Crais Jr. | Surgery | 315 S River St, Hailey, ID 83333-8426 | 2007-01-23 |
| 1003823956 | Craig B. Bass | Surgery | 250 Bobwhite Ct, # 275, Boise, ID 83706-6643 | 2006-08-02 |
| 1629069885 | Patrick James Mullen | Surgery | 2121 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 | 2005-11-04 |
| 1720381536 | Patrick J Mullen Md Pllc | Surgery | 750 N Syringa St, Suite 204, Post Falls, ID 83854-5275 | 2010-12-16 |
| 1073757464 | Michael R Dibenedetto Md Pllc | Surgery | 30544 Highway 200, Suite 102, Ponderay, ID 83852-5005 | 2009-04-29 |
| 1881881118 | Steven E Ozeran, M.d., P.a. | Surgery | 1630 23rd Ave, Suite 901a, Lewiston, ID 83501-6350 | 2007-10-01 |
| 1154549616 | Teton Plastic Surgery | Surgery | 2860 Channing Way, Suite 213, Idaho Falls, ID 83404-7531 | 2007-04-23 |
| 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.