SUZANNE L SHAW (NPI# 1770577942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770577942 |
| Entity Type | Individual |
| Full Name | SUZANNE L SHAW |
| Credential | MD |
| Practice Address |
3000 15th Ave South Great Falls MT 59405 |
| Mailing Address |
1400 29th St S Great Falls MT 59405-5353 |
| Practice Telephone | 4064542171 |
| Practice Fax Number | 4067713021 |
| Mailing Telephone | 4064542171 |
| Mailing Fax Number | 4067713021 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2011-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
7782 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0072371 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912194564 | Suzanne B Shaw | Social Worker | 870 Polisade Ave, Suite 304, Teaneck, NJ 07666-3446 | 2007-09-27 |
| 1942334222 | Suzanne M Shaw | Chiropractor | 362 Boardman-poland Road, Boardman, OH 44512-4934 | 2007-03-16 |
| 1457567224 | Suzanne Elizabeth Shaw | Marriage & Family Therapist | 236 W Mountain St, Suite 205, Pasadena, CA 91103-2967 | 2007-05-16 |
| 1417927252 | Suzanne Shaw | Nurse Practitioner | 2025 Soquel Ave, Santa Cruz, CA 95062-1323 | 2006-01-24 |
| Street Address |
3000 15TH AVE SOUTH |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609955491 | Mahesh M Koppikar | Radiology | 1035 Cup Leaf Holly Ct, Great Falls, VA 22066-1218 | 2006-11-03 |
| 1295820025 | Ronald T. Egan | Radiology | 5 Bob Marshall Pl, Great Falls, MT 59404-6432 | 2006-10-04 |
| 1730273160 | Leslie A. Russell | Radiology | 401 15th Ave S Suite 204, Radilogy Montana, PC, Great Falls, MT 59405 | 2006-10-02 |
| 1710930094 | Joseph Daniel Garnic | Radiology | 401 15th Ave S Ste 204, Great Falls, MT 59405-4334 | 2006-05-18 |
| 1144459009 | Andrew Clawson Baugh | Radiology | 401 15th Ave S Ste 204, Great Falls, MT 59405-4334 | 2009-07-13 |
| 1245496900 | Matthew Scott Wetzel | Radiology | 1101 26th Street South, Radiology Department, Great Falls, MT 59405 | 2008-08-01 |
| 1184802647 | Anastasia Marie Balius | Radiology | 1101 26th St S, Great Falls, MT 59405-5161 | 2008-02-07 |
| 1770705329 | James H Daniel Jr. | Radiology | 1101 26th St S, Benefis Radiology/ Radiology Montana PC, Great Falls, MT 59405-5161 | 2007-05-03 |
| 1518053081 | Gary L. Schumacher | Radiology | 1101 26th St S, Great Falls, MT 59405 | 2006-10-04 |
| 1629163076 | Tyler L. Will | Radiology | 1101 26th St S, Great Falls, MT 59405 | 2006-10-03 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on SUZANNE L 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.