MS. LISA K SHAW (NPI# 1356321764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356321764 |
| Entity Type | Individual |
| Full Name | MS. LISA K SHAW |
| Other Name | MS. LISA K SHAW |
| Credential | PMAC |
| Practice Address |
6100 Old Johnstown Rd Harrisburg PA 17112 |
| Mailing Address |
Po Box 526 23 N Main St Riglerville PA 17307 |
| Practice Telephone | 7175410988 |
| Practice Fax Number | 7175418838 |
| Mailing Telephone | 7176779288 |
| Mailing Fax Number | 7176774196 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 211D00000X | Assistant, Podiatric | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | APMAA | 3398 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497146229 | Lisa Shaw | Physical Therapist | 659 Commercial St, Suite 101, San Francisco, CA 94111 | 2015-02-16 |
| 1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
| 1164628152 | Lisa Helms Shaw | Physical Therapist | 3302 Lantern Coach Ln Ne, Roswell, GA 30075-3195 | 2007-06-26 |
| 1245453356 | Lisa M Shaw | Physical Therapist | 9729 N White Tail Trl, Stillman Valley, IL 61084-9401 | 2007-04-10 |
| 1629176938 | Lisa Shaw | Social Worker | 2640 West Point Rd, Green Bay, WI 54304-1344 | 2006-09-20 |
| 1154951317 | Lisa Shaw | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2020-01-16 |
| 1952892366 | Lisa Cindy Shaw | Acupuncturist | 1850 Fairway Dr, San Leandro, CA 94577-5629 | 2018-05-21 |
| 1902314404 | Lisa Shaw | Registered Nurse | 930 Bethesda Dr, Zanesville, OH 43701-0815 | 2018-01-18 |
| 1417478199 | Lisa Nicole Shaw | Specialist/Technologist | 12411 Slauson Ave, Whittier, CA 90606-2835 | 2017-07-03 |
| 1124473251 | Lisa Shaw | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2016-04-26 |
| Street Address |
6100 OLD JOHNSTOWN RD |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549928 | Purposefully Soaring Counseling Services LLC | Counselor | 1537 Devonshire Rd, Suite G, Harrisburg, PA 17112 | 2018-12-12 |
| 1558839175 | Blue Diamond Homecare LLC | In Home Supportive Care | 2799 Monticello Ln, Harrisburg, PA 17112 | 2018-11-13 |
| 1326539057 | Erin Elizabeth Jones | Student in an Organized Health Care Education/Training Program | 121 Nyes Road Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-29 |
| 1003307067 | Michael Timothy Partin | Family Medicine | 121 Nyes Road, Suite A, Hp09, Harrisburg, PA 17112 | 2018-05-25 |
| 1427576024 | Lauren Rittle | Specialist/Technologist | 4426 Greenridge Lane, Harrisburg, PA 17112 | 2017-09-03 |
| 1255856233 | Jan Eiko Ikeda | Physical Therapist | 5425 Jonestown Road, Suite 100, Harrisburg, PA 17112 | 2017-08-10 |
| 1417471574 | Luke Borden Berguson | Physical Therapist | 5425 Jonestown Rd Ste 100, Harrisburg, PA 17112 | 2017-07-31 |
| 1578931374 | Kelsey Janelle Wallen | Physical Therapist | 5425 Jonestown Road Ste. 100, Harrisburg, PA 17112 | 2015-09-10 |
| 1609276195 | Matthew Edward Conroy | Physical Therapist | 5425 Jonestown Road, Ste. 100, Outpatient Physical Therapy Network, LLC D/b/a Madden P, Harrisburg, PA 17112 | 2014-09-03 |
| 1144665399 | William Schuler Pierce | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 Saradana Road, Harrisburg, PA 17112 | 2013-05-01 |
| Find all providers in zip 17112 | ||||
| Taxonomy Code | 211D00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Assistant, Podiatric |
| An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures. |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 622. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699746560 | Mary Cardosa Bolduc | Assistant, Podiatric | 6100 Old Jonestown Rd, Harrisburg, PA 17112-2632 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073735296 | Marie Therese Kisic | Assistant, Podiatric | 4313 Butler St, Pittsburgh, PA 15201-3009 | 2007-05-03 |
| 1710439344 | Comprehensive Family Foot Care, LLC | Assistant, Podiatric | 35 E Elizabeth Ave, Suite 13, Bethlehem, PA 18018-6505 | 2016-10-31 |
| 1336129741 | Joan Marie Baugher | Assistant, Podiatric | 23 N Main St, Biglerville, PA 17307 | 2006-01-20 |
| City | HARRISBURG |
| Zip Code | 17112 |
Please comment or provide details below to improve the information on MS. LISA K SHAW.
| 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.