ENOCH D SHAW (NPI# 1710067988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710067988 |
| Entity Type | Individual |
| Full Name | ENOCH D SHAW |
| Other Name | E DAVID SHAW |
| Credential | MD |
| Practice Address |
2720 Commercial St Se Ste 201 Salem OR 97302-4495 |
| Practice Telephone | 5034800485 |
| Practice Fax Number | 5034800486 |
| Mailing Telephone | 5034800485 |
| Mailing Fax Number | 5034800486 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD08663 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 004887 | 05 |
| Street Address |
2720 COMMERCIAL ST SE STE 201 |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518996198 | Namrata Ragade | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-07-03 |
| 1609279298 | Amy Marie Hernandez | Physician Assistant | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2014-09-26 |
| 1639503253 | Salem Travel Clinic, LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4495 | 2013-08-30 |
| 1639403330 | Cascade Infectious Diseases and Infusion LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-09-28 |
| 1558596916 | Jasmin Chaudhary | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2009-05-28 |
| 1427131135 | Daniel J Campbell | Podiatrist | 2720 Commercial St Se, Ste 201, Salem, OR 97302-4495 | 2006-10-24 |
| 1568546794 | John C Girod | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
| 1518041763 | Eliza Oh | Internal Medicine | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4586 | 2006-10-24 |
| 1689760472 | Richard De Quiroz Basilan | Internal Medicine | 2720 Commercial St Se, Suite #201, Salem, OR 97302-4495 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447553185 | Lee T Simon Md Inc | Orthopaedic Surgery | 2222 Oak St, Salem, OH 44460-2520 | 2010-12-20 |
| 1225048374 | Steven R Beranek | Orthopaedic Surgery | 875 Oak Street Se, Suite 3060, Salem, OR 97301 | 2006-08-09 |
| 1770529547 | William S.t. Mayhall | Orthopaedic Surgery | 1280 Center St Ne, Salem, OR 97301-4113 | 2006-06-21 |
| 1104871409 | James M Leipzig Md PC | Orthopaedic Surgery | 1940 Braeburn Cir, Salem, VA 24153-7388 | 2006-05-24 |
| 1013988161 | James Mastin Farmer | Orthopaedic Surgery | 101 Knotbreak Rd, Salem, VA 24153-5404 | 2006-01-27 |
| 1215918305 | Ralph Coburn Sweetland | Orthopaedic Surgery | 9 Colby St, Salem, MA 01970-1901 | 2005-11-07 |
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1275525123 | Thomas Earl Hoerner | Orthopaedic Surgery | 16 Pelham Rd, Suite 1, Salem, NH 03079-2826 | 2005-08-17 |
| 1154324705 | Robert S Fan | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2005-05-27 |
| 1356891535 | Virginia Orthopaedic, PC | Orthopaedic Surgery | 1917 Electric Rd, Salem, VA 24153-7424 | 2016-10-11 |
| Find all providers in SALEM | ||||
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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.