DR. GERALD P SHAW (NPI# 1881760882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881760882 |
| Entity Type | Individual |
| Full Name | DR. GERALD P SHAW |
| Credential | MD |
| Practice Address |
18301 N 79th Ave Ste C126 Glendale AZ 85308-8463 |
| Mailing Address |
8004 W Donald Dr Peoria AZ 85383-2114 |
| Practice Telephone | 6234863346 |
| Practice Fax Number | 6234863747 |
| Mailing Telephone | 6024055627 |
| Mailing Fax Number | 6234863747 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
10342 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 260282 | 05 | |
| AZ | BCBS OF AZ | AZ0871340 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477783413 | Gerald L. Shaw | Obstetrics & Gynecology | 7 Greenwood Cir, East Lyme, CT 06333-1220 | 2009-07-24 |
| 1114098423 | Gerald Matthew Shaw | Chiropractor | 3600 Fieldston Rd, Suite 2e, Bronx, NY 10463-2004 | 2006-11-10 |
| Street Address |
18301 N 79TH AVE STE C126 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85308-8463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676165 | Gerald Barnes Harris II | Internal Medicine | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2005-08-15 |
| 1689199671 | Austin Blalock | Physical Therapist | 18301 N 79th Ave, Glendale, AZ 85308-8463 | 2017-08-10 |
| 1275074700 | Passport Health Holdings, LLC | Preventive Medicine | 18301 N 79th Ave, Ste D148, Glendale, AZ 85308-8479 | 2017-03-16 |
| 1720469182 | Preferred Physical Therapy, LLC | Physical Therapist | 18301 N 79th Ave, Ste B122, Glendale, AZ 85308-8463 | 2015-06-11 |
| 1639560816 | Rose Marie Mintz | Physician Assistant | 18301 N 79th Ave, Suite G190, Glendale, AZ 85308-8463 | 2015-02-10 |
| 1932535952 | Lee Ann Brady, LLC | Health Educator | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2013-09-23 |
| 1487093746 | Kyle Cornelius Gillespie | Podiatrist | 18301 N 79th Ave, Bldg F #168, Glendale, AZ 85308-8463 | 2013-06-20 |
| 1417223611 | Desert Sun Smiles, LLC | Dentist | 18301 N 79th Ave, Suite F164, Glendale, AZ 85308-8463 | 2012-04-02 |
| 1518242254 | Cheryl Dewood | Dentist | 18301 N 79th Ave, Suite F 164, Glendale, AZ 85308-8463 | 2011-10-13 |
| 1538454970 | Northwest Counseling and Associates LLC | Specialist | 18301 N 79th Ave, Ste. F170, Glendale, AZ 85308-8463 | 2011-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102572 | Inspire Wellness and Pelvic Health | Clinic/Center | 5940 W Union Hills Dr Ste D280, Glendale, AZ 85308 | 2020-10-23 |
| 1669081709 | Michelle Yoakim | Student in an Organized Health Care Education/Training Program | 19555 N 59th Avenuue, Glendale, AZ 85308 | 2020-07-24 |
| 1033742291 | Kaitlyn Marie Shannon | Dietitian, Registered | 20325 North 51st Avenue, Building 9, Suite 166, Glendale, AZ 85308 | 2020-02-17 |
| 1295377687 | Serenity Preserved Counseling Pllc | Counselor | 21448 N. 75th Avenue Ste G, Glendale, AZ 85308 | 2019-10-17 |
| 1013567023 | Caitlyn Heredia | Student in an Organized Health Care Education/Training Program | 18330 N 79th Avenue, Apartment 1070, Glendale, AZ 85308 | 2019-09-12 |
| 1770141061 | Sydney Dangelo | Student in an Organized Health Care Education/Training Program | 7454 W Denaro Dr, Glendale, AZ 85308 | 2019-05-31 |
| 1023585742 | Center for Couples Therapy, Pllc | Counselor | 18205 N 51st Ave, Ste 113, Glendale, AZ 85308 | 2018-10-31 |
| 1831678341 | Ayat Mahdi Obeidi | Dentist | 19420 N 59th Ave Ste D400, Glendale, AZ 85308 | 2018-08-07 |
| 1720580038 | Lifeline Professional Counseling Services, Inc | Clinic/Center | 17235 N 75th Ave Suite F-100, Glendale, AZ 85308 | 2018-03-02 |
| 1003318585 | Danna Mavis Constance Moisii | Physician Assistant | 18301 N. 79th Ave #g190, Glendale, AZ 85308 | 2018-03-01 |
| Find all providers in zip 85308 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679849772 | Raffi Tashjian | Psychiatry & Neurology | 1031 Trafalger Dr, Glendale, CA 91207-1139 | 2012-03-22 |
| 1568649309 | Walter T. Davison, M.d., P.a. | Psychiatry & Neurology | 2540 W Dunwood Rd, Glendale, WI 53209-1824 | 2008-01-23 |
| 1033319322 | Michael Yasinski | Psychiatry & Neurology | 8955 W Northview Ave, Glendale, AZ 85305-1621 | 2007-07-24 |
| 1235332883 | Hermes Gerundo | Psychiatry & Neurology | 5022 N 54th Ave Ste 4, Glendale, AZ 85301-7531 | 2007-06-08 |
| 1255476180 | Noemi Contreras | Psychiatry & Neurology | 225 N Maryland Ave, #d, Glendale, CA 91206-4237 | 2007-02-20 |
| 1063554566 | Ara D Kadoyan | Psychiatry & Neurology | 1560 E Chevy Chase Dr Suite #340, Glendale, CA 91206 | 2007-02-12 |
| 1790849883 | Bessy M Martirosyan | Psychiatry & Neurology | 141 S Cedar St, Glendale, CA 91205-1207 | 2006-12-21 |
| 1215003207 | Patricia O Kirby | Psychiatry & Neurology | 21448 N 75th Ave Ste 6, Glendale, AZ 85308-5978 | 2006-11-28 |
| 1770668345 | Lilit Yegiazaryan | Psychiatry & Neurology | 138 N Brand Blvd Ste 303, Glendale, CA 91203-4621 | 2006-10-25 |
| 1659472124 | Manohar Sambhaji Shinde | Psychiatry & Neurology | 6425 San Fernando Road, Glendale, CA 91201-3624 | 2006-09-26 |
| Find all providers in GLENDALE | ||||
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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.