DR. SUSAN SARA SHAW (NPI# 1750659397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750659397 |
| Entity Type | Individual |
| Full Name | DR. SUSAN SARA SHAW |
| Credential | D.O. |
| Practice Address |
25 Vernon St Saco ME 04072-2722 |
| Practice Telephone | 2076029339 |
| Practice Fax Number | 2075719970 |
| Mailing Telephone | 2076029339 |
| Mailing Fax Number | 2075719970 |
| Enumeration Date | 2011-12-11 |
| Last Update Date | 2011-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1612 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679906879 | Susan Marie Shaw | Counselor | 127 North River Street, Fenton, MI 48430 | 2013-08-12 |
| 1023459369 | Susan Kay Shaw | Licensed Practical Nurse | 40769 Vineyard Rd, Reedsville, OH 45772-9741 | 2013-07-16 |
| 1235341983 | Susan Finette Shaw | Physical Therapy Assistant | 3724 Center Road, Suite 109, Brunswick, OH 44212 | 2007-05-04 |
| 1023160538 | Susan Shaw | Counselor | 299 Broadway, Arlington, MA 02474 | 2007-01-17 |
| 1538706494 | Susan Shaw | Counselor | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-12-10 |
| 1376008144 | Susan Marie Shaw | Nurse Practitioner | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2019-02-06 |
| 1457882045 | Susan Shaw | Social Worker | 131 Warburton Ave, C/o Wjcs Dss Satellite Office, Yonkers, NY 10701-2721 | 2017-03-24 |
| 1154795680 | Susan Shaw I | Counselor | 50 Lydia Ln, South Portland, ME 04106-2156 | 2015-11-20 |
| 1457648156 | Susan Damm Shaw | Social Worker | 303 W Water St, Suite 108, Flint, MI 48503-5627 | 2011-07-01 |
| 1700011988 | Susan Carol Shaw | Counselor | 2772 Martin Luther King Blvd., Fresno, CA 93706 | 2009-05-18 |
| Street Address |
25 VERNON ST |
| City | SACO |
| State | ME |
| Zip Code | 04072-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174519235 | Judy Welch | Family Medicine | 9 Beach St, Saco, ME 04072-2801 | 2005-09-23 |
| 1255869897 | Robert Cole Hurley | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-05-26 |
| 1447571864 | Catherine Gisele Boucher-cornelio | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-21 |
| 1881914554 | Matthew D Stevens | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2010-06-04 |
| 1073833703 | Anastasia R Norman | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-04 |
| 1215166533 | Kristen L Barbee | Family Medicine | 655 Main Street, Smmc Primecare Physicians, Saco, ME 04072 | 2009-07-08 |
| 1245465038 | Bradley Smith | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2009-05-21 |
| 1548494552 | Karen E Dmytrasz | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2009-05-05 |
| 1043473457 | Christine A Kleinman | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2008-07-07 |
| 1558561332 | Kristen N Mitchell | Family Medicine | 13 Industrial Park Road, Saco, ME 04072 | 2007-07-20 |
| Find all providers in SACO | ||||
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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.