AMANDA NICOLE SHAW (NPI# 1851641948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851641948 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE SHAW |
| Credential | MD |
| Practice Address |
5323 Harry Hines Blvd Dallas TX 75390-7208 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2144565959 |
| Practice Fax Number | 2144565963 |
| Mailing Telephone | 2144565959 |
| Mailing Fax Number | 2144565963 |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
P2364 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898707 | Amanda Jo Shaw | Social Worker | 1103 Cydney Ln, Greencastle, PA 17225-8925 | 2020-10-13 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1225416712 | Amanda Shaw | Social Worker | 90 Central St, Hudson, MA 01749-3328 | 2015-05-15 |
| 1851934475 | Amanda Shaw | Social Worker | 1012 Broad St, Bloomfield, NJ 07003-2807 | 2019-10-27 |
| 1609342211 | Amanda Shaw | Massage Therapist | 5122 25th Ave Ne, Seattle, WA 98105-4121 | 2018-10-22 |
| 1356834378 | Amanda Shaw | Psychologist | 247 Park Ave, Rochester, NY 14607-2723 | 2018-06-13 |
| 1619498698 | Amanda T Shaw | Student in an Organized Health Care Education/Training Program | 850 5th Ave E, Tuscaloosa, AL 35401-7419 | 2017-06-29 |
| 1023461381 | Amanda Shaw | Social Worker | 555 Merrimack St, Lowell, MA 01854-3906 | 2016-07-21 |
| 1992178933 | Amanda M Shaw | Nurse Practitioner | 8200 Dodge St, Children's Hospital & Medical Center, Omaha, NE 68114-4113 | 2015-11-12 |
| 1104216639 | Amanda Elizabeth Shaw | Nurse Practitioner | 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | 2015-02-04 |
| Street Address |
5323 HARRY HINES BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-7208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384434 | Wayne Edward Vinton | Nurse Anesthetist, Certified Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2005-05-24 |
| 1134726441 | Franco Hernandez | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-10-08 |
| 1902413313 | Suzanne Largent | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-09-29 |
| 1518574540 | Alexandra Abele | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2020-09-24 |
| 1427660133 | Salman Kazmi | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-24 |
| 1356951800 | Teja Sebastian | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-08 |
| 1891305454 | Usamah Chaudhary | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-07 |
| 1700496999 | Jada Martin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-9006 | 2020-08-03 |
| 1790395036 | Glaiza-mae Sande-docor | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| 1326658675 | Allante Jemar Milsap | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982846317 | Brent Kevin Presley | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2009-03-31 |
| 1366610149 | Kamal N Bharucha | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2008-02-14 |
| 1457558777 | Soumya Adhikari | Pediatrics | 5323 Harry Hines Blvd, Room G2.236, Mc 9063, Dallas, TX 75390-7201 | 2007-06-29 |
| 1740316405 | Ximena Lopez | Pediatrics | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2007-02-26 |
| 1043387475 | Sudha Lakshmi Mootha | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-11-29 |
| 1548292402 | Ellen Susan Sher | Pediatrics | 7777 Forest Ln, Suite B-303, Dallas, TX 75230-2505 | 2006-07-07 |
| 1720035785 | Ellen Kaizer Grishman | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-05-27 |
| 1104887306 | Bryan Arnold Dickson | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-29 |
| 1144280801 | Melissa Rebecca Ham | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-27 |
| 1073573978 | Perrin C White | Pediatrics | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-24 |
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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.