MARK R SHAW


Address: 120 Radnor Rd, Ste 100, State College, PA 16801
Phone: 8142317868

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine OS004761L PA Allopathic & Osteopathic Physicians

Other Providers MARK SHAW

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

Office Location

Street Address 120 RADNOR RD
STE 100
City STATE COLLEGE
State PA
Zip Code 16801

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City STATE COLLEGE
Zip Code 16801

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Dataset Information

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.

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