DR. JONATHAN DAVID SHAW (NPI# 1669579116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669579116 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN DAVID SHAW |
| Credential | MD |
| Practice Address |
2911 Brunswick Road Memphis TN 38133 |
| Mailing Address |
Po Box 415000 Msc7548 Nashville TN 37241-7548 |
| Practice Telephone | 9013774700 |
| Mailing Telephone | 9013774700 |
| Mailing Fax Number | 9013774752 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2018-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36677 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00877855 | 05 | |
| TN | Q008619 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1912498874 | Jonathan Shaw | Orthopaedic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-05-25 |
| 1922467661 | Jonathan Shaw | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2016-02-22 |
| 1760897565 | Jonathan Shaw | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2014-07-01 |
| 1114331923 | Jonathan Shaw | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2014-06-19 |
| 1841574753 | Jonathan D Shaw | Social Worker | 242 Brunswick St, Old Town, ME 04468-1613 | 2011-10-11 |
| 1356672794 | Jonathan Stephen Shaw | Obstetrics & Gynecology | One Medical Center Drive, Obstetrics & Gynecology, Lebanon, NH 03756-0001 | 2010-01-25 |
| 1073709143 | Jonathan Shaw | Physical Therapist | 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532 | 2007-09-21 |
| 1265631709 | Jonathan G. Shaw | Family Medicine | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2007-07-14 |
| 1144264284 | Jonathan Thomas Shaw | Physical Therapist | 3220 Dunwoodie Rd, Ann Arbor, MI 48105-4113 | 2006-06-16 |
| Street Address |
2911 BRUNSWICK ROAD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069201 | Warren Hilliard | Family Medicine | 7625 Hwy64, 107, Memphis, TN 38133 | 2020-10-06 |
| 1487142048 | David Charles Riddle | Pharmacist | 8400 Hwy 64, Bartlett, TN 38133 | 2018-04-28 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1285144527 | Annice R.h. Overall | Social Worker | 2561 Sunny Glade Cove, Memphis, TN 38133 | 2017-09-30 |
| 1275050098 | Bartlett Asc, LLC | Clinic/Center | 3045 Kate Bond Road, Bartlett, TN 38133 | 2017-08-23 |
| 1407385297 | Tennessee Psychiatric Services Pllc | Psychiatry & Neurology | 2965 N Germantown Rd Ste 116, Bartlett, TN 38133 | 2017-06-06 |
| 1598113656 | Sensory World Memphis | Durable Medical Equipment & Medical Supplies | 2965 N Germantown Rd Suite 107, Bartlett, TN 38133 | 2016-05-31 |
| 1659754471 | Grant Coleman Dasher | Dentist | 2705 Appling Road Suite 101, Memphis, TN 38133 | 2015-06-30 |
| 1134533243 | Caelyn Newport | Chiropractor | 7879 Crescent Hill Dr., Memphis, TN 38133 | 2014-06-17 |
| 1033536479 | Lunceford Family Health Center | Internal Medicine | 7865 Edcator's Ln Suite 300, Bartlett, TN 38133 | 2014-03-24 |
| Find all providers in zip 38133 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295053767 | Annie Naik Gadiparthi | Psychiatry & Neurology | 848 Adams Avenue L400, Memphis, TN 38103-8503 | 2010-05-09 |
| 1760485866 | Paul David Clein | Psychiatry & Neurology | 2911 Brunswick Rd, Lakeside Hospital, Memphis, TN 38133 | 2005-05-23 |
| 1164830956 | Sumaiya Amena Hossain | Psychiatry & Neurology | 51 N Dunlap St, Memphis, TN 38105-4625 | 2014-07-24 |
| 1154764660 | Jessica Cummings | Psychiatry & Neurology | University of Tennessee, 910 Madison Ave. Suite 1031, Memphis, TN 38163 | 2013-04-15 |
| 1598082992 | Darrell Andrew Elliott | Psychiatry & Neurology | 51 N Dunlap St, Ste. 400, Memphis, TN 38105-4625 | 2010-04-23 |
| 1174851786 | Andres Alberto Ramos Henriquez | Psychiatry & Neurology | 51 N Dunlap St., Ste. 350, Memphis, TN 38105 | 2009-11-20 |
| 1851358618 | Valerie K Arnold | Psychiatry & Neurology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959017 | Periscope Community Health Services | Psychiatry & Neurology | 167 Belle Forest Cir, Nashville, TN 37221-2103 | 2020-10-15 |
| 1902117815 | The Family Wellness Center, LLC | Psychiatry & Neurology | 7503 Queens Ct, Suite 1, Germantown, TN 38138-3875 | 2010-06-24 |
| 1063739415 | Wellsprings Psychiatry and Counseling Center, Pllc | Psychiatry & Neurology | 109 Holiday Ct Ste D10, Franklin, TN 37067-1311 | 2010-04-26 |
| 1619154440 | 17th Avenue Psychiatry | Psychiatry & Neurology | 1503 17th Ave S, Nashville, TN 37212-2805 | 2008-01-23 |
| 1093913576 | Michael Greer Md PC | Psychiatry & Neurology | 183 Fiddlers Ln, Kingston, TN 37763-4020 | 2007-07-06 |
| 1609971134 | Richard A Colletti | Psychiatry & Neurology | 109 Holiday Ct., D10, Franklin, TN 37067 | 2006-09-13 |
| 1407963515 | Constance L Durbin | Psychiatry & Neurology | 1135 Cully Rd, Ste 100, Cordova, TN 38016 | 2006-08-24 |
| 1558380089 | Daniel Barton | Psychiatry & Neurology | 4535 Harding Pike, Suite # 102, Nashville, TN 37205-2120 | 2006-07-18 |
| 1063048668 | Mind and Body Wellness Clinic | Psychiatry & Neurology | 1176 Vickery Ln Ste 100, Cordova, TN 38016-0631 | 2020-03-16 |
| 1609424274 | Bright Star Child and Adolescent Psychiatry LLC | Psychiatry & Neurology | 681 Morganton Square Dr, Maryville, TN 37801-4763 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
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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.