CHRISTOPHER JOEL SHAW (NPI# 1407179690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407179690 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JOEL SHAW |
| Credential | PA-C |
| Practice Address |
11800 Ne 128th St Suite 300 Kirkland WA 98034-7208 |
| Mailing Address |
13236 Ne 129th Pl Kirkland WA 98034-3361 |
| Practice Telephone | 4258145100 |
| Practice Fax Number | 4258145103 |
| Mailing Telephone | 4258145100 |
| Mailing Fax Number | 4258145103 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2015-02-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60124508 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAILROAD MEDICARE | P00946049 | 01 |
| WA | L AND I | 0260915 | 01 |
| WA | 1407179690 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957508 | Christopher M Shaw | Dietitian, Registered | 222 Liberty Ave, Westbury, NY 11590-2134 | 2019-08-09 |
| 1316080195 | Christopher Joseph Shaw | Rehabilitation, Substance Use Disorder Unit | 17 Prince Street, Unit 2, Jamaica Plain, MA 02130 | 2007-02-14 |
| 1730610338 | Christopher Robin Shaw | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 | 2017-03-24 |
| 1124443619 | Christopher J Shaw | Counselor | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2014-02-20 |
| 1982045696 | Christopher Thomas Shaw | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2013-07-10 |
| 1588935795 | Christopher G Shaw | Nurse Anesthetist, Certified Registered | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2012-01-19 |
| 1306127006 | Christopher Leigh Shaw | Physical Therapist | 321 N Chambers St, Port Angeles, WA 98362-3919 | 2011-09-08 |
| 1164715330 | Christopher C Shaw | Emergency Medicine | 800 Rose Street, Lexington, KY 40505-0298 | 2011-05-22 |
| 1124341508 | Christopher Scott Shaw | Social Worker | 2525 Wallingwood Dr, Bldg 1 Ste 213, Austin, TX 78746-6900 | 2010-03-12 |
| 1497917991 | Christopher Michael Shaw | Orthopaedic Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2008-06-26 |
| Street Address |
11800 NE 128TH ST SUITE 300 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690242 | Richard C Carlsen | Pharmacist | 11800 Ne 128th St, Ste 150, Kirkland, WA 98034 | 2005-12-20 |
| 1962935197 | Lake Washington Anesthesia Pllc | Anesthesiology | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2017-04-05 |
| 1104278654 | Corissa Wennerlind | Physical Therapist | 11800 Ne 128th St, Ste 510, Kirkland, WA 98034-7208 | 2016-07-08 |
| 1861843989 | Kathy Tram Daotay | Nurse Practitioner | 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7208 | 2016-06-30 |
| 1720449804 | Teresa K Yagi Dds Pllc | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2016-03-16 |
| 1285003707 | Lauren Janice Ma | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2015-09-15 |
| 1699143230 | Manual Therapy International P.s., P.l.l.c. | Clinic/Center | 11800 Ne 128th St, Suite 510, Kirkland, WA 98034-7208 | 2015-09-14 |
| 1255713145 | Annette Anderson | Nurse Practitioner | 11800 Ne 128th St, 2nd Floor, Kirkland, WA 98034-7208 | 2015-06-26 |
| 1699154013 | Ester Anne Yang | Physician Assistant | 11800 Ne 128th St, Ms:a-me, Kirkland, WA 98034-7208 | 2015-05-19 |
| 1528489648 | Hillarie Hemmann | Physical Therapist | 11800 Ne 128th St, Ste 400, Kirkland, WA 98034-7208 | 2013-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1912418211 | Briana Marie Desmet | Physician Assistant | 12040 Ne 128th St # Ms 33, Kirkland, WA 98034-3013 | 2017-10-13 |
| 1124564588 | Bryn Renda | Physician Assistant | 10220 Ne Points Dr, Kirkland, WA 98033-7864 | 2017-01-10 |
| 1417275454 | Sharon Beverly Mueller | Physician Assistant | 11105 Ne 95th St, Kirkland, WA 98033-4203 | 2010-05-15 |
| 1992021091 | Allen S Tu | Physician Assistant | 13718 100th Ave Ne, Kirkland, WA 98034-5216 | 2010-04-14 |
| 1467670794 | Melissa A Prasatik | Physician Assistant | 10117 Ne 58th St Ste 200, Kirkland, WA 98033-7450 | 2007-04-23 |
| 1386692101 | Lisa Miner | Physician Assistant | 3100 Carillon Pt, Kirkland, WA 98033-7306 | 2006-05-04 |
| 1427579796 | Gretchen Emily Heidorn-nelson | Physician Assistant | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2017-06-27 |
| 1265965511 | Katherine June Hall | Physician Assistant | 12039 Ne 128th St Ste 400, Kirkland, WA 98034-3030 | 2017-04-04 |
| 1306396338 | Clark Anthony Laprelle II | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2016-10-14 |
| 1659728939 | Megan Palazzola | Physician Assistant | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2016-05-17 |
| Find all providers in KIRKLAND | ||||
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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.