KATHY TRAN SHAW


Address: 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374
Phone: 5035880076

KATHY TRAN SHAW (NPI# 1417273426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417273426
Entity Type Individual
Full Name KATHY TRAN SHAW
Other Name KATHY THI TRAN
Credential M.D.
Practice Address 3896 Beverly Ave Ne
Bldg J, Suite 40
Salem
OR 97305-1374
Mailing Address Po Box 190
Toppenish
WA 98948-0190
Practice Telephone 5035880076
Practice Fax Number 5035880531
Mailing Telephone 5098652395
Mailing Fax Number 5098650757
Enumeration Date 2010-04-15
Last Update Date 2014-10-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD169036 OR Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine A125476 CA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 036131795 IL Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 125-058841 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OR 500677323 05

Other Providers KATHY SHAW

NPI Name Taxonomy Address Enumeration
1053448753 Kathy F Shaw Registered Nurse 3525 W Oxford Ave # G3, Denver, CO 80236-3106 2007-02-28
1306852645 Kathy N Shaw Pediatrics 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Emergency Med, Philadelphia, PA 19104-4319 2006-07-31

Office Location

Street Address 3896 BEVERLY AVE NE
BLDG J, SUITE 40
City SALEM
State OR
Zip Code 97305-1374

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760431464 Jenny L Stegeman-olsen Family Medicine 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 2006-05-09
1912358730 Susannah Martell Registered Nurse 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 2016-06-22
1043668940 Erin Elizabeth Steiner Nurse Practitioner 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 2016-06-01
1639570120 Peter Bodmer Physician Assistant 3896 Beverly Ave Ne, Salem, OR 97305-1374 2014-09-16
1306275847 Laura White Counselor 3896 Beverly Ave Ne, Building J, Suite 40, Salem, OR 97305-1374 2013-11-05
1093056053 Lauren Truxillo Physician Assistant 3896 Beverly Ave Ne, Bldg J, Suite 40, Salem, OR 97305-1374 2013-03-14
1376847012 Vanessa B Lind Physician Assistant 3896 Beverly Ave Ne, Building J, Ste. 40, Salem, OR 97305-1374 2011-01-10
1992021745 Leslie A Drapiza Family Medicine 3896 Beverly Ave Ne, Building J, Ste, Salem, OR 97305-1374 2010-04-19
1750538310 Skye Gustin Waggoner Physician Assistant 3896 Beverly Ave Ne, Bldg J, Ste 40, Salem, OR 97305-1374 2008-08-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821639147 Christine Ann Featherstone Social Worker Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 2019-10-08
1962996553 Erin Ann Wakefield Non-emergency Medical Transport (VAN) 2425 Fisher Rd Ne, Salem, OR 97305 2018-06-18
1770002271 Traci L Lee Case Manager/Care Coordinator 3876 Beverly Ave Bldg G, Salem, OR 97305 2017-09-15
1952825762 Matthew Paul Martin Dentist 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 2017-08-02
1043750367 Sherri King Physical Therapy Assistant 4696 Reimann St Ne, Salem, OR 97305 2017-03-06
1760861314 Amara Lenore Peterson Counselor 4347 Sunnyview Rd Ne, Salem, OR 97305 2015-05-28
1720467954 Heather Rose Community Health Worker 4347 Sunnyview Road Ne, Salem, OR 97305 2015-05-20
1588057004 Carmen Heidecke Counselor 4347 Sunnyview Rd. Ne, Salem, OR 97305 2015-03-08
1629476825 Bryan James Greenaway Audiologist 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 2014-12-21
1710300322 Christopher Ryan Counselor 4385 Sunnyview Road Ne, Salem, OR 97305 2014-02-03
Find all providers in zip 97305

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710373444 Larry Bassinger Family Medicine 1300 Broadway St Ne Ste 104, Salem, OR 97301-1420 2015-04-09
1396144507 Constance Johanson Family Medicine 3959 Croisan Creek Rd S, Salem, OR 97302-9474 2014-08-14
1457792699 Sultan Seretis Bussey Hospitalist LLC Family Medicine 310 Route 45, Salem, NJ 08079-2064 2013-07-16
1629338470 Derek Koller Family Medicine 6861 Lemongrass Loop Se, Salem, OR 97306-1474 2012-05-25
1962712927 Paul Julian Perrin Family Medicine 525 Ferry St Se, Suite 203, Salem, OR 97301 2010-10-08
1326372558 Robert Verne Bain Family Medicine 2280 Kuebler Road, South, Salem, OR 97302 2009-09-21
1902036320 James A. Auerbach, M.d., P.C. Family Medicine 4747 Skyline Rd S, Suite 190, Salem, OR 97306-4200 2009-07-20
1033347430 Jeanette Walker Family Medicine 5560 Witzel Rd Se, Salem, OR 97317-9142 2009-06-24
1871747188 Carmelle Marie Andrine Constant Family Medicine 84 Highland Ave Ste 309, Salem, MA 01970-2733 2008-11-13
1518127927 Mazen I Madhoun Family Medicine 3737 W Main St Ste 101, Salem, VA 24153-2073 2008-06-10
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 97305

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Dataset Information

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.

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