DAVID DOUGLAS SHAW (NPI# 1548307275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548307275 |
| Entity Type | Individual |
| Full Name | DAVID DOUGLAS SHAW |
| Other Name | D. DOUGLAS SHAW |
| Credential | CPO |
| Practice Address |
312 Commerce St Unit 10 Williston VT 05495-7832 |
| Practice Telephone | 8028649909 |
| Mailing Telephone | 8028649909 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | BLUE CROSS BLUE SHIELD | 054 2771 | 01 |
| VT | 0009187 | 05 | |
| NY | 01060791 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164686135 | David J Shaw | Psychologist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2008-07-17 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1134266950 | David Jonathan Shaw | Counselor | 519 Quigley Ave, Willow Grove, PA 19090-3609 | 2007-01-31 |
| 1003971904 | David Preston Shaw | Psychiatry & Neurology | 470 Front St N, Issaquah, WA 98027-2914 | 2006-12-22 |
| 1609937838 | David W Shaw | Chiropractor | 1006 Virginia Ave, Fort Pierce, FL 34982-3522 | 2006-12-12 |
| 1760542922 | David Allen Shaw | Psychologist | 516 S.e. Morrison St, Suite 530, Portland, OR 97214-2346 | 2006-12-11 |
| 1760490619 | David G Shaw | Chiropractor | 18652 Florida St, Ste 245, Huntington Beach, CA 92648-1924 | 2006-08-04 |
| 1497741284 | David Shaw | Psychologist | 18384 Lost Lake Way, Jupiter, FL 33458-3805 | 2005-09-27 |
| 1073506432 | David Lee Shaw | Psychiatry & Neurology | 907 Mar Walt Drive, Suite 2021, Fort Walton Beach, FL 32547-6960 | 2005-08-31 |
| 1376542241 | David Brian Shaw | Psychologist | 538 Wythe Creek Rd, Suite H, Poquoson, VA 23662-1569 | 2005-07-21 |
| Street Address |
312 COMMERCE ST UNIT 10 |
| City | WILLISTON |
| State | VT |
| Zip Code | 05495-7832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659544054 | D. Douglas Shaw | Prosthetic/Orthotic Supplier | 312 Commerce St, Unit 10, Williston, VT 05495-7832 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1164986386 | Caitlin Taylor Henck | Behavioral Analyst | 37 Talcott Road, Williston, VT 05495 | 2019-01-23 |
| 1497273585 | Williston Health Supplies | Durable Medical Equipment & Medical Supplies | 34 Blair Park Road, Suite 104 #302, Williston, VT 05495 | 2017-09-08 |
| 1245755057 | Jennifer L Cadorette | Physical Therapist | 1193 S Brownell Rd Ste 20, Williston, VT 05495 | 2017-08-14 |
| 1538563317 | Pamela Guiduli Nash | Psychologist | 277 Blair Park, Suite 210, Williston, VT 05495 | 2014-10-22 |
| 1205277118 | Daniel J Cho | Dentist | 62 Merchants Row, Williston, VT 05495 | 2013-07-09 |
| 1134473218 | Vermont Technical College Department of Denta | Dentist | 301 Lawrence Place, Williston, VT 05495 | 2012-10-29 |
| 1689923864 | Megan Marie Quiet | Specialist/Technologist | 115 Wellness Drive, Williston, VT 05495 | 2012-09-05 |
| 1285981365 | Allison Marie Bogan | Chiropractor | 300 Cornerstone Dr. Ste 215, Williston, VT 05495 | 2012-08-08 |
| 1114229937 | Bayada Home Health Care, Inc. | Registered Nurse | 600 Blair Park Rd Ste 300, Williston, VT 05495 | 2010-11-30 |
| Find all providers in zip 05495 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
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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.