MARK R SHAW (NPI# 1689608127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689608127 |
Entity Type | Individual |
Full Name | MARK R SHAW |
Credential | D.O. |
Practice Address |
120 Radnor Rd Ste 100 State College PA 16801 |
Mailing Address |
120 Radnor Rd Ste 100 State College PA 16801-7970 |
Practice Telephone | 8142317868 |
Practice Fax Number | 8142384169 |
Mailing Telephone | 8142317868 |
Mailing Fax Number | 8142384169 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2018-06-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | OS004761L | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588171557 | Mark Shaw | Social Worker | 5640 Teakwood Dr, Dalzell, SC 29040-9652 | 2017-12-29 |
1245646637 | Mark Shaw | Dentist | 15 Gosnell Xing, Staunton, VA 24401-6297 | 2014-07-07 |
1831202068 | Mark Alan Shaw | Dentist | 2062 College Ave, Elmira Heights, NY 14903-1651 | 2006-08-15 |
1952330433 | Mark Allen Shaw | Dentist | 113 Curry Hollow Rd, Suite 102, Pleasant Hills, PA 15236-4600 | 2006-06-30 |
1538143383 | Mark R Shaw | Radiology | 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 | 2005-12-05 |
1295296903 | Mark M Shaw | Social Worker | 2495 Elmwood Ave, Kenmore, NY 14217-2222 | 2019-03-26 |
1639462013 | Mark A Shaw | Hearing Instrument Specialist | 925 E Pennsylvania Avenue, Suite H, Escondido, CA 92025 | 2011-05-18 |
1285954784 | Mark A Shaw | Pharmacist | 40 Watkins St, Nelsonville, OH 45764 | 2010-06-07 |
1154556918 | Mark M. Shaw | Psychologist | 1600 California Dr, Vacaville, CA 95687 | 2009-05-22 |
1841216744 | Mark E Shaw | Social Worker | 1836 South Ave, La Crosse, WI 54601-5429 | 2006-07-14 |
Street Address |
120 RADNOR RD STE 100 |
City | STATE COLLEGE |
State | PA |
Zip Code | 16801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215102355 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1598930638 | Mount Nittany Medical Center | General Acute Care Hospital | 120 Radnor Rd, State College, PA 16801-7970 | 2008-04-29 |
1245418334 | Mount Nittany Medical Center Health Services Inc | Clinic/Center | 120 Radnor Rd, State College, PA 16801-7970 | 2008-01-31 |
1235339243 | Mount Nittany Medical Center | Prosthetic/Orthotic Supplier | 120 Radnor Rd, Mnmc - Orthotics, State College, PA 16801-7970 | 2007-07-19 |
1437230414 | Stacy Merrow | Physician Assistant | 120 Radnor Rd, Ste 100, State College, PA 16801-7970 | 2006-10-18 |
1215944160 | Christine Louise Tichansky | Emergency Medicine | 120 Radnor Rd, Ste 100, State College, PA 16801-7970 | 2006-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
Find all providers in zip 16801 |
Taxonomy Code | 207P00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245556398 | Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | 1613 N Atherton St, Suite B, State College, PA 16803-3073 | 2010-04-14 |
1922158542 | Mandeep S Oberoi | Emergency Medicine | 1800 E Park Ave., State College, PA 16801-5602 | 2007-01-12 |
1871504407 | Gregory Dale Cook | Emergency Medicine | 26 High Meadow Ln, State College, PA 16803-1853 | 2006-08-10 |
1508876889 | Jeffrey R. Elias | Emergency Medicine | 1800 East Park Avenue, State College, PA 16803 | 2006-08-09 |
1467834309 | Andrew Timothy Catherine | Emergency Medicine | 1850 E Park Ave, State College, PA 16803 | 2015-06-27 |
1871911610 | Kyle Lewis | Emergency Medicine | 1800 East Park Ave, State College, PA 16803-1501 | 2014-03-30 |
1306102850 | Ryan Michael Burton | Emergency Medicine | 1800 E Park Ave, State College, PA 16803-6797 | 2012-04-10 |
1992899934 | Brian David Newcomb | Emergency Medicine | 1800 East Park Avenue, Emergency Department, State College, PA 16803 | 2006-10-03 |
1366559247 | Bridget Flickinger | Emergency Medicine | 1800 E Park Ave, State College, PA 16803-6709 | 2006-08-24 |
1962411652 | Michael Bernard Henry | Emergency Medicine | 1800 E Park Ave, State College, PA 16803-6701 | 2006-08-05 |
Find all providers in STATE COLLEGE |
City | STATE COLLEGE |
Zip Code | 16801 |
Please comment or provide details below to improve the information on MARK R 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.