DR. STEVEN EDISON SHAW (NPI# 1649209099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649209099 |
| Entity Type | Individual |
| Full Name | DR. STEVEN EDISON SHAW |
| Credential | D. C. |
| Practice Address |
1515 W Walnut St Jacksonville IL 62650-1150 |
| Mailing Address |
1515 W Walnut St Jacksonville IL 62650-1157 |
| Practice Telephone | 2172435313 |
| Practice Fax Number | 2172437608 |
| Mailing Telephone | 2172435313 |
| Mailing Fax Number | 2172437608 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | IL | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114068277 | Steven Scott Shaw | Dentist | 163 Pleasant Ave, Portland, ME 04103-3242 | 2007-02-10 |
| 1881199826 | Steven Shaw | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Cincinnati, OH 45219-2364 | 2018-03-29 |
| 1326584954 | Steven Shaw | Dentist | 4610 Meadows Ln, Suite A, Las Vegas, NV 89107-2927 | 2017-01-06 |
| 1578938239 | Steven A Shaw | Counselor | 2 Airport Dr, Presque Isle, ME 04769 | 2015-12-07 |
| 1114392057 | Steven Shaw | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-8909 | 2015-12-03 |
| 1326432584 | Steven Loren Shaw | Student in an Organized Health Care Education/Training Program | 16836 Newburgh Rd, Livonia, MI 48154-1600 | 2015-03-26 |
| 1881841492 | Steven Michael Shaw | Optometrist | 5353 Sw College Rd, Ocala, FL 34474-5717 | 2008-08-26 |
| 1922269737 | Steven James Shaw | Ophthalmology | 55 Vilcom Center Dr, Ste 140, Chapel Hill, NC 27514-1690 | 2008-06-24 |
| 1184796484 | Steven Wayne Shaw | Chiropractor | 136 W Main St, New Britain, CT 06052-1315 | 2006-11-14 |
| 1023123197 | Steven Henderson Shaw | Internal Medicine | 8495 Crater Lake Hwy, White City, OR 97503-3011 | 2006-08-20 |
| Street Address |
1515 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558333633 | Allen G Gerberding | Family Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2006-02-03 |
| 1740777093 | Tamara Breckon | Nurse Practitioner | 1515 W Walnut St, Jacksonville, IL 62650 | 2018-04-21 |
| 1629465414 | Hshs Medical Group Inc | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2015-04-20 |
| 1164848750 | Smile Experts Dental Associates | Exclusive Provider Organization | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2014-03-06 |
| 1609177005 | Madhusudan Vallala M.d., S.c. | Internal Medicine | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2010-11-16 |
| 1295068856 | Eldon G. Barrowes | Dentist | 1515 W Walnut St, Bldg. #3, Jacksonville, IL 62650-1150 | 2009-09-15 |
| 1962650150 | Lynch Family Dentistry, P.C. | Clinic/Center | 1515 W Walnut St, Building 5, Jacksonville, IL 62650-1150 | 2008-09-03 |
| 1891960753 | Ronald R Lynch Dmd Ltd | Clinic/Center | 1515 W Walnut St, Jacksonville, IL 62650-1150 | 2008-04-22 |
| 1295952422 | Robert A. Krueger, D.d.s., Ltd. | Dentist | 1515 W Walnut St, #8, Jacksonville, IL 62650-1150 | 2007-04-19 |
| 1477677995 | Foot and Ankle Associates of Central Illinois LLC | Durable Medical Equipment & Medical Supplies | 1515 W Walnut St, Suite 12, Jacksonville, IL 62650-1150 | 2007-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172548 | Jacksonville Chiropractic Rehab and Wellness Center | Chiropractor | 7908 Blanding Boulevard, Suite #4, Jacksonville, FL 32244-7564 | 2020-10-22 |
| 1588261572 | Postural Chiropractic | Chiropractor | 4263 Losco Rd Apt 623, Jacksonville, FL 32257-1449 | 2020-10-03 |
| 1932729639 | Medicussx Spine & Joint, LLC | Chiropractor | 9191 R G Skinner Pkwy Unit 901, Jacksonville, FL 32256-9663 | 2020-04-22 |
| 1801425913 | Yale Gordon | Chiropractor | 6263 Philips Hwy, Jacksonville, FL 32216-6047 | 2020-04-02 |
| 1437787454 | Holly Ganley | Chiropractor | 12486 Weeping Branch Cir, Jacksonville, FL 32218-9602 | 2020-03-27 |
| 1093347767 | Jennifer Vannoy | Chiropractor | 6100 Greenland Rd Ste 101, Jacksonville, FL 32258-2624 | 2020-02-10 |
| 1831739317 | True Wellness Health Center | Chiropractor | 1124 Bahia Blanca St S, Jacksonville, FL 32256-7393 | 2020-01-13 |
| 1356981955 | Endeavor Health Center | Chiropractor | 13051 Gran Bay Pkwy Unit 1328, Jacksonville, FL 32258-6515 | 2020-01-10 |
| 1134762834 | Christina Salvia | Chiropractor | 11900 Atlantic Blvd Ste 226, Jacksonville, FL 32225-2942 | 2019-10-25 |
| 1386290898 | Kelsey R Clevenger | Chiropractor | 4413 Town Center Parkway, Ste. 205, Jacksonville, FL 32246 | 2019-08-12 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on DR. STEVEN EDISON 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.