DR. KATHRYN WEBER SHAW (NPI# 1649515297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649515297 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN WEBER SHAW |
| Credential | MD |
| Practice Address |
1150 N 35th Ave Ste 390 Hollywood FL 33021-5429 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657450 |
| Practice Fax Number | 9542657459 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2019-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | ME141862 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD60740019 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255593240 | Kathryn Mary Shaw | Chiropractor | 245 Bellagio Cir, Sanford, FL 32771-5001 | 2008-06-30 |
| 1265570659 | Kathryn Shaw | Midwife | 1210 N Main St, Las Cruces, NM 88001-1102 | 2007-02-01 |
| 1568484798 | Kathryn Elizabeth Shaw | Counselor | 3309 S Kingshighway Blvd, Saint Louis, MO 63139-1101 | 2006-07-24 |
| 1588277602 | Kathryn Shaw | Behavior Technician | 7777 131st St Ste 7, Seminole, FL 33776-4015 | 2020-08-28 |
| 1457976102 | Kathryn Shaw | Technician, Pathology | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2020-06-09 |
| 1811397292 | Kathryn Rose Shaw | Counselor | 830 Ezzard Charles Dr, Cincinnati, OH 45214-2525 | 2014-09-04 |
| 1376824888 | Kathryn Christine Shaw | Pharmacist | 113 Holland Ave, Albany, NY 12208-3410 | 2011-08-30 |
| 1629378476 | Kathryn Shaw | Counselor | 11 Hope Rd, Suite 213, Stafford, VA 22554-7287 | 2010-10-27 |
| 1609029370 | Kathryn Eilizabeth Shaw | Nurse Practitioner | 4540 Sand Point Way Ne Ste 100, Seattle, WA 98105-3941 | 2008-10-28 |
| 1235354010 | Kathryn Shaw | Emergency Medicine | 600 Hospital Dr, Department of Emergency Medicine, Monroe, NC 28112-6000 | 2007-04-16 |
| Street Address |
1150 N 35TH AVE STE 390 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225191703 | Juan D Arenas | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2006-12-18 |
| 1649735010 | Lizandra Gutierrez | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2019-02-09 |
| 1538636147 | Nikki Denson Strong | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2018-11-01 |
| 1598266595 | Clemine Lelievre-privat | Nurse Practitioner | 1150 N 35th Ave Ste 390, Hollywood, FL 33021 | 2018-02-24 |
| 1093262248 | South Broward Hospital District | Transplant Surgery | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2016-09-06 |
| 1740432269 | Fernando Edilberto Pedraza Taborda | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2008-10-15 |
| 1598973067 | Heather Anne Laguardia | Internal Medicine | 1150 N 35th Ave Ste 390, Hollywood, FL 33021-5429 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649834169 | Florida Comprehensive Health Management LLC | Surgery | 3475 Sheridan St Ste 101, Hollywood, FL 33021-3633 | 2019-04-30 |
| 1376965459 | Ira Glazer | Surgery | 524 N Rainbow Dr, Hollywood, FL 33021-6060 | 2014-01-09 |
| 1780954859 | Michael Parmer | Surgery | 2301 S Ocean Dr, Apt. 504, Hollywood, FL 33019-2621 | 2012-01-06 |
| 1477874907 | Courtney Michelle Edwards | Surgery | 1150 N 35th Ave Ste 200, Hollywood, FL 33021 | 2010-06-18 |
| 1710178116 | Narciso Lino Gomez | Surgery | 3475 Sheridan St Ste 201, Hollywood, FL 33021-3659 | 2007-08-09 |
| 1932319076 | Yin-kan Hwee | Surgery | 1201 N 35th Ave, Suite 200, Hollywood, FL 33021-5468 | 2007-05-23 |
| 1821002171 | Alexander Marmureanu | Surgery | 6253 Hollywood Blvd Apt 1108, Hollywood, CA 90028-8261 | 2006-07-29 |
| 1477567642 | Michael J Mallis | Surgery | 4651 Sheridan St Ste 350, Hollywood, FL 33021-3425 | 2006-07-27 |
| 1760400030 | Robert B Donoway | Surgery | 4000 Hollywood Blvd, Presidential Circle, Suite 160 North, Hollywood, FL 33021-6751 | 2006-07-17 |
| 1770540494 | Luis Asanza | Surgery | 4811 Hollywood Blvd, Suite C, Hollywood, FL 33021 | 2006-04-27 |
| Find all providers in HOLLYWOOD | ||||
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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.