MR. RYAN E SHAW (NPI# 1760002448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760002448 |
| Entity Type | Individual |
| Full Name | MR. RYAN E SHAW |
| Credential | APRN |
| Practice Address |
725 W. Granada Blvd Ste 22 Ormond Beach FL 32174-5107 |
| Practice Telephone | 3867882300 |
| Practice Fax Number | 3869446622 |
| Mailing Telephone | 3867882300 |
| Mailing Fax Number | 3869446622 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11006557 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1619207107 | Ryan Shaw | Dentist | 1600 Pacific Ave Ste 1, Natrona Heights, PA 15065-2138 | 2010-01-05 |
| 1205452877 | Ryan Patrick Shaw | Dentist | 108 Main St Ne, Bondurant, IA 50035-7722 | 2020-06-19 |
| 1669977716 | Ryan Michael Edward Shaw | Pharmacist | 2409 University Ave, Austin, TX 78712-1112 | 2018-03-29 |
| 1831590512 | Ryan Shaw | Chiropractor | 353 Saratoga Rd, Glenville, NY 12302-5117 | 2014-09-12 |
| 1093114985 | Ryan Shaw | Physical Therapy Assistant | 1475 N Granite Reef Rd, Scottsdale, AZ 85257-3919 | 2014-08-18 |
| 1609049212 | Ryan C Shaw | Physician Assistant | 850 Kempsville Rd, Norfolk, VA 23502-3920 | 2008-04-04 |
| Street Address |
725 W. GRANADA BLVD STE 22 |
| City | ORMOND BEACH |
| State | FL |
| Zip Code | 32174-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215574991 | Case Vision Pa | Optometrist | Eye Savers, 1474 W. Granada Blvd. #470, Ormond Beach, FL 32174 | 2019-12-02 |
| 1235797143 | Galia Leilani Medrano Ramirez | Dentist | 1274 W. Granada Blvd, Ormond Beach, FL 32174 | 2019-06-05 |
| 1295299220 | Jessica Johnson Hills | Nurse Practitioner | 1400 Hand Ave Ste K, Ormond Beach, FL 32174 | 2019-01-23 |
| 1437507043 | Natasha Jairam | Family Medicine | Adventhealth Medical Group Family Medicine, 400 Clyde Morris Blvd Ste A, Ormond Beach, FL 32174 | 2016-05-25 |
| 1871956540 | Lisa Anne Parissi | Chiropractor | 157 Kimberly Drive, Ormond Beach, FL 32174 | 2016-03-31 |
| 1023477940 | Ambassador Health Services, Inc | In Home Supportive Care | 136 N Orchard St Ste 1, Ormond Beach, FL 32174 | 2016-02-19 |
| 1619341518 | Maria Rogers | Optometrist | 9 Abacus Ave, Ormond Beach, FL 32174 | 2015-11-16 |
| 1285003830 | Sydney Kalin Neuhardt | Nurse Practitioner | 725 W. Granada Blvd. Ste 1, Ormond Beach, FL 32174 | 2015-09-24 |
| 1194107821 | Jerusha Thacker | Case Manager/Care Coordinator | 259 Bill France Blvd. Ste 200, Daytona Beach, FL 32174 | 2015-06-18 |
| 1730569971 | Daniel Joseph Lapolla | Physical Therapy Assistant | 1275 Granada Blvd, Suite 4b2, Ormond Beach, FL 32174 | 2015-06-03 |
| Find all providers in zip 32174 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763125 | Saltwater Health & Wellness LLC | Nurse Practitioner | 260 Williamson Blvd # 731498, Ormond Beach, FL 32174-8257 | 2020-09-01 |
| 1164033288 | Jenilee Marcinkiewicz | Nurse Practitioner | 915 Willow Run, Ormond Beach, FL 32174-6147 | 2020-08-12 |
| 1265929343 | Karen Sebastien | Nurse Practitioner | 1503 Oak Forest Dr, Ormond Beach, FL 32174-3409 | 2018-04-15 |
| 1346750205 | Laura Lyann Gonzalez | Nurse Practitioner | 13 Walnut Ln, Ormond Beach, FL 32174-2618 | 2017-10-05 |
| 1588101174 | Goma Mayberry | Nurse Practitioner | 773 Riverside Dr, Ormond Beach, FL 32176-7878 | 2017-01-20 |
| 1154712941 | Margaret Craddock | Nurse Practitioner | 345 Clyde Morris Blvd Ste 490, Ormond Beach, FL 32174-3114 | 2015-02-15 |
| 1063843118 | Pamela Weiker | Nurse Practitioner | 62 Mayfield Cir, Ormond Beach, FL 32174-5933 | 2013-11-27 |
| 1740586288 | Kellie Kilpatrick Battillo | Nurse Practitioner | 76 S St Andrews Dr, Ormond Beach, FL 32174-3857 | 2011-02-01 |
| 1033365143 | Robyn Panther Gleason | Nurse Practitioner | 136 Hilldale Ave, Ormond Beach, FL 32176-5724 | 2008-08-09 |
| 1952900953 | Saltwater Family Practice | Nurse Practitioner | 305 Clyde Morris Blvd Ste 200, Ormond Beach, FL 32174-8182 | 2020-10-21 |
| Find all providers in ORMOND BEACH | ||||
| City | ORMOND BEACH |
| Zip Code | 32174 |
Please comment or provide details below to improve the information on MR. RYAN E 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.