TARA A. SHAW (NPI# 1538194675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538194675 |
| Entity Type | Individual |
| Full Name | TARA A. SHAW |
| Credential | MD |
| Practice Address |
275 W Macarthur Oakland CA 94611-5641 |
| Practice Telephone | 5107521000 |
| Practice Fax Number | 7076512743 |
| Mailing Telephone | 5107521000 |
| Mailing Fax Number | 7076512743 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A80836 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-113299 | IL | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A80836 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093297558 | Tara Shaw | Nurse Practitioner | 2920 N Cascade Ave, Colorado Springs, CO 80907-6262 | 2018-08-31 |
| 1912127382 | Tara M Shaw | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2007-04-26 |
| 1104969633 | Tara Javon Shaw | Case Manager/Care Coordinator | 650 S. Peoria, Tulsa, OK 74120-4426 | 2007-02-15 |
| Street Address |
275 W MACARTHUR |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132580 | David Law | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2005-05-31 |
| 1003247818 | Suzanne P Whitcomb | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-12-03 |
| 1629400445 | Jason Villarin | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-08-02 |
| 1619311560 | Failin Au | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-04-22 |
| 1447592266 | Kimberly Gail Ernest | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-03-19 |
| 1336489657 | Heather L. Tyson | Physical Therapist | 275 W Macarthur, Oakland, CA 94611-5641 | 2013-02-22 |
| 1083966931 | Gregory Miller Barnell | Nurse Practitioner | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-10-02 |
| 1164773594 | Bonnie L Taylor | Physician Assistant | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-09-25 |
| 1073861308 | Heidi Evelynne Meck | Psychologist | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-16 |
| 1457607913 | Shilpa V Patel | Internal Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1699287334 | Ann Blackwell | Family Medicine | 7312 Hillmont Dr, Oakland, CA 94605-2928 | 2017-11-03 |
| 1134579170 | Jonathan Patberg | Family Medicine | 350 Hawthorne Ave Rm 2308, Oakland, CA 94609-3108 | 2016-06-21 |
| 1003279068 | Van T Vu | Family Medicine | 250 E 18th Street, 2nd Floor, Oakland, CA 94606-1716 | 2016-03-29 |
| 1831559509 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 5 S. Walnut St., Oakland, IL 61943 | 2016-02-24 |
| 1356729826 | Carroll-anne Heins | Family Medicine | 3600 Broadway Ste 43, Oakland, CA 94611-5730 | 2015-05-15 |
| 1568849743 | Wei (wendy) Diao | Family Medicine | 1800 Harrison St Fl 9th, Oakland, CA 94612 | 2015-04-27 |
| 1902292030 | Xiaoshuang Chen | Family Medicine | 835 Webster Street, Oakland, CA 94607-4219 | 2015-04-15 |
| 1356734859 | Christina Gomez-mira | Family Medicine | 532 Chetwood St, Oakland, CA 94610-1428 | 2015-03-09 |
| 1669875498 | Richard Kreutzer | Family Medicine | 7100 Homewood Dr, Oakland, CA 94611-1411 | 2014-10-07 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on TARA A. 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.