JANA SHAW (NPI# 1548208820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548208820 |
| Entity Type | Individual |
| Full Name | JANA SHAW |
| Credential | MD |
| Practice Address |
238 Arsenal St Watertown NY 13601-2504 |
| Mailing Address |
20830 Cagwin Rd Watertown NY 13601-5364 |
| Practice Telephone | 3157826400 |
| Practice Fax Number | 3157821330 |
| Mailing Telephone | 3157826400 |
| Mailing Fax Number | 3157821330 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
239174 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02462559 | 05 | |
| NY | LICENSE NUMBER | 239174 | 01 |
| Street Address |
238 ARSENAL ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960822 | Nancy A Coughlin | Nurse Practitioner | 238 Arsenal St, Watertown, NY 13601-2504 | 2005-05-31 |
| 1720619216 | Rachel C Handura | Social Worker | 238 Arsenal St, Watertown, NY 13601-2504 | 2020-02-03 |
| 1831667807 | Yasmin Habib | Social Worker | 238 Arsenal St, Watertown, NY 13601-2504 | 2018-11-08 |
| 1184100083 | Courtney Kulzer | Social Worker | 238 Arsenal St, Watertown, NY 13601-2504 | 2018-07-13 |
| 1356890396 | Robin Diane Frost | Physician Assistant | 238 Arsenal St, Watertown, NY 13601-2504 | 2016-10-03 |
| 1922429695 | Erin Kyle Kolb | Nurse Practitioner | 238 Arsenal St, Watertown, NY 13601-2504 | 2013-12-26 |
| 1689016941 | Jackie Wing Kin Lam | Dentist | 238 Arsenal St, Watertown, NY 13601-2504 | 2013-07-26 |
| 1114279940 | Marybeth Knowlton | Nutritionist | 238 Arsenal St, Watertown, NY 13601-2504 | 2012-10-03 |
| 1104145010 | Farhana Abdul Basit | Pediatrics | 238 Arsenal St, Watertown, NY 13601-2504 | 2010-05-18 |
| 1164747317 | Melissa L Reynolds | Nurse Practitioner | 238 Arsenal St, Watertown, NY 13601-2504 | 2010-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306222682 | Paul Jeffrey Edelson | Pediatrics | Jfk Intl Airport-terminal4, Rm.219.016, Cdc Quarantine Station, Jamaica, NY 11430 | 2015-08-10 |
| 1861897761 | Natalie Banniettis | Pediatrics | 921 Avenue O, Brooklyn, NY 11230-6508 | 2014-11-04 |
| 1700289303 | Carine Hedari | Pediatrics | 430 East 29th Street, Division of Pediatric Infectious Diseases, New York, NY 10016 | 2014-09-27 |
| 1811335052 | Brooklyn Pediatric Infectious Diseased PC | Pediatrics | 433 74th Street, Brooklyn, NY 11209 | 2013-06-10 |
| 1568808814 | Quoc Van Nguyen | Pediatrics | 4810 Palmer Rd, Manlius, NY 13104-9348 | 2013-05-14 |
| 1922343573 | John Michael Zahradnik | Pediatrics | 25 Gregory Dr, Goshen, NY 10924-1016 | 2012-12-09 |
| 1386970424 | Joy H. Glaser | Pediatrics | 1 Windcrest Rd, Rye, NY 10580-1625 | 2009-10-25 |
| 1972837292 | Asif Noor | Pediatrics | 120 Mineola Blvd Ste 210, Mineola, NY 11501-4077 | 2009-09-21 |
| 1013178920 | Christy Anne Beneri | Pediatrics | Hsc Suny Stony Brook, Department of Pediatrics Hsc T-11, Stony Brook, NY 11794-8111 | 2008-06-23 |
| 1770656019 | Lorry Rubin | Pediatrics | Lijmc -pediatrics, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-16 |
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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.