MR. JACOB MICHAEL SHAW (NPI# 1376198614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376198614 |
| Entity Type | Individual |
| Full Name | MR. JACOB MICHAEL SHAW |
| Credential | PA-C |
| Practice Address |
180 W Esplanade Ave Kenner LA 70065-2467 |
| Mailing Address |
1821 Hobbiton Rd Baton Rouge LA 70810-3419 |
| Practice Telephone | 5044688600 |
| Mailing Telephone | 2253623533 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 320113 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757140 | Jacob Winton Shaw | Nurse Practitioner | 213 W Liberty St, Winnsboro, SC 29180-1421 | 2014-07-01 |
| 1558914457 | Jacob Wayne Shaw | Health Educator | 2603 N Rodgers Ave, Alton, IL 62002-5524 | 2019-07-19 |
| 1255837969 | Jacob Shaw | Pediatrics | 4900 Mueller Blvd Ste 3s.066c, Austin, TX 78723-3079 | 2018-04-02 |
| 1023497344 | Jacob Shaw | Family Medicine | 1 Erie Ct, Oak Park, IL 60302 | 2015-05-19 |
| 1174737258 | Jacob Johnston Shaw | Pharmacist | 605 5th Ave W, Hendersonville, NC 28739-4205 | 2007-05-09 |
| 1093793713 | Jacob D Shaw | Optometrist | 2251 N Woodlawn St, Wichita, KS 67220-3947 | 2006-01-03 |
| Street Address |
180 W ESPLANADE AVE |
| City | KENNER |
| State | LA |
| Zip Code | 70065-2467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474084 | George Nick Guzzardo Jr. | Emergency Medicine | 180 W Esplanade Ave, Emergency Department, Kenner, LA 70065-2467 | 2005-08-23 |
| 1093332702 | Armando Alvarez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-06-29 |
| 1619505419 | Kayla Gonzalez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-03-29 |
| 1790324655 | Chastity L Boudreaux | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-12-24 |
| 1699321703 | Extreme Environmental Medicine, LLC | Emergency Medicine | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-08-14 |
| 1770145161 | Aimee Hodnett | Nurse Anesthetist, Certified Registered | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2019-07-05 |
| 1053895045 | N'jeri Kai Dixon | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-09-17 |
| 1942703152 | Kristin Stein | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065 | 2018-03-14 |
| 1548769946 | Jaime Leigh Ndandu | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2018-02-12 |
| 1184138653 | Joy Fletcher Chairs | Nurse Practitioner | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942703152 | Kristin Stein | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065 | 2018-03-14 |
| 1255783312 | Amanda Menard | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2016-07-12 |
| 1639553035 | Lauren Catherine Johns | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2015-07-15 |
| 1205217684 | Emily Elizabeth Montz | Physician Assistant | 200 W Esplanade Ave, Ste 210, Kenner, LA 70065-2489 | 2015-06-11 |
| 1245623354 | Louisiana Pain Specialists | Physician Assistant | 231 W Esplanade Ave Ste B, Kenner, LA 70065-2580 | 2015-03-13 |
| 1013307461 | Patricia Alexis Reed | Physician Assistant | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2015-01-23 |
| 1548510696 | Lauren Rebecca Holmes | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2012-09-17 |
| 1063788586 | Cory S Mcclinton | Physician Assistant | 231 W Esplanade Ave, Kenner, LA 70065-2459 | 2012-03-29 |
| 1033481502 | Katie Lynn Merithew | Physician Assistant | 231 W Esplanade Ave, Suite B, Kenner, LA 70065-2459 | 2012-01-31 |
| 1164736906 | Mary Hitchcock Plaisance | Physician Assistant | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2010-08-04 |
| Find all providers in KENNER | ||||
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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.