JONATHAN D SHAW (NPI# 1841574753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841574753 |
| Entity Type | Individual |
| Full Name | JONATHAN D SHAW |
| Practice Address |
242 Brunswick St Old Town ME 04468-1613 |
| Mailing Address |
Po Box 1599 Bangor ME 04402-1599 |
| Practice Telephone | 2078276128 |
| Practice Fax Number | 2078275533 |
| Mailing Telephone | 2079455247 |
| Mailing Fax Number | 2079470435 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LS12886 | ME | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579116 | Jonathan David Shaw | Psychiatry & Neurology | 2911 Brunswick Road, Memphis, TN 38133 | 2006-09-19 |
| 1023641743 | Jonathan Shaw | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2020-02-20 |
| 1912498874 | Jonathan Shaw | Orthopaedic Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-05-25 |
| 1922467661 | Jonathan Shaw | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2016-02-22 |
| 1760897565 | Jonathan Shaw | Pharmacist | 515 S Main St, Leitchfield, KY 42754-1133 | 2014-07-01 |
| 1114331923 | Jonathan Shaw | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2014-06-19 |
| 1356672794 | Jonathan Stephen Shaw | Obstetrics & Gynecology | One Medical Center Drive, Obstetrics & Gynecology, Lebanon, NH 03756-0001 | 2010-01-25 |
| 1073709143 | Jonathan Shaw | Physical Therapist | 3950 Cobb Pkwy Nw, Suite 703, Acworth, GA 30101-9532 | 2007-09-21 |
| 1265631709 | Jonathan G. Shaw | Family Medicine | 1885 Bay Rd, East Palo Alto, CA 94303-1312 | 2007-07-14 |
| 1144264284 | Jonathan Thomas Shaw | Physical Therapist | 3220 Dunwoodie Rd, Ann Arbor, MI 48105-4113 | 2006-06-16 |
| Street Address |
242 BRUNSWICK ST |
| City | OLD TOWN |
| State | ME |
| Zip Code | 04468-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841283959 | Kay M Nash | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2005-08-24 |
| 1578194585 | Kara Middleton | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2020-01-29 |
| 1497317457 | Olivia Jasmin Greer | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2019-06-30 |
| 1215595749 | Justin J Cloukey | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2019-05-30 |
| 1144791849 | Destiny R Reynolds | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2018-12-07 |
| 1174020432 | Rachel Laura Kinney | Nurse Practitioner | 242 Brunswick St, Old Town, ME 04468-1613 | 2018-04-12 |
| 1992219455 | Jeffrey Walton | Physical Therapist | 242 Brunswick St, Old Town, ME 04468-1613 | 2017-11-20 |
| 1518497395 | Collin Francis Zelinsky | Physician Assistant | 242 Brunswick St, Old Town, ME 04468-1613 | 2017-06-14 |
| 1407307101 | James Cash Sr. | Chiropractor | 242 Brunswick St, Old Town, ME 04468-1613 | 2016-10-18 |
| 1760932552 | Amanda Langworthy | Registered Nurse | 242 Brunswick St, Old Town, ME 04468-1613 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770730012 | Karen Laflamme Davis | Speech-Language Pathologist | 270-a Main St, Old Town, ME 04468 | 2008-08-19 |
| 1104028281 | Susan C Hoovler | Licensed Practical Nurse | 242 Brunswick St., Penobscot Community Health Center, Old Town, ME 04468 | 2007-06-01 |
| 1326251000 | City of Old Town | Local Education Agency (LEA) | 156 Oak St., Old Town, ME 04468 | 2007-05-08 |
| 1891832382 | Nancy J. Mitchell Home Trust | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Sandy Beach Lane, Indian Island, ME 04468 | 2007-01-31 |
| 1639274913 | Dianne E Kallen | Family Medicine | 252 Brunswick St, Old Town, ME 04468 | 2006-09-13 |
| 1023510898 | Riversedge Chiropractic Wellness Center LLC | Clinic/Center | 227 Main St, Old Town, ME 04468 | 2018-03-07 |
| 1134350077 | Kaliope C. Parousis | Pediatrics | 242 Brunswick Street, Old Town, ME 04468 | 2009-07-27 |
| 1568673267 | Merla Roy | Technician, Pathology | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-05-24 |
| 1154440113 | Mckay Shared Living Services | Custodial Care Facility | 240 Main Street, Old Town, ME 04468 | 2007-03-28 |
| 1225153851 | Margo Downing | Registered Nurse | 23 Wabanaki Way, Indian Island, ME 04468 | 2007-03-20 |
| Find all providers in zip 04468 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242154 | Michael Harris | Social Worker | 87 Glenwood Ave, Portland, ME 04103-3128 | 2020-10-14 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1558855247 | Rebecca Jean Boyle | Social Worker | 110 Main St Ste 1306, Saco, ME 04072-3516 | 2018-06-18 |
| 1841798345 | Rachel Castiglia | Social Worker | 92 Clewleyville Rd, Eddington, ME 04428-3024 | 2018-01-30 |
| 1689189573 | Sarah Dugas | Social Worker | 69 Danforth St Apt 3, Portland, ME 04101-4579 | 2017-12-13 |
| 1750896312 | Savanna Rae Power | Social Worker | 1200 Ohio St., Bangor, ME 04402 | 2017-12-05 |
| 1871007807 | Greta Brooke Garvey | Social Worker | 167 Kennebec Rd, Hampden, ME 04444-1342 | 2017-11-29 |
| 1609386911 | Karl Macdonald | Social Worker | 56 Coboro Rd., Stetson, ME 04488 | 2017-10-02 |
| 1851838635 | Nicole Mank | Social Worker | 398 Hinks Rd, Jefferson, ME 04348-4012 | 2017-01-31 |
| 1265983290 | Alison S Mitchell | Social Worker | 61 Main St Ste 60, Bangor, ME 04401-6469 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
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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.