TARA M SHAW (NPI# 1912127382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912127382 |
| Entity Type | Individual |
| Full Name | TARA M SHAW |
| Credential | PA-C |
| Practice Address |
1821 S Stoughton Rd Madison WI 53716-2257 |
| Practice Telephone | 6082606000 |
| Practice Fax Number | 6082606699 |
| Mailing Telephone | 6082606000 |
| Mailing Fax Number | 6082606699 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2137-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2137-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN HEALTH INSURANCE | 60696 | 01 |
| WI | 41939100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093297558 | Tara Shaw | Nurse Practitioner | 2920 N Cascade Ave, Colorado Springs, CO 80907-6262 | 2018-08-31 |
| 1104969633 | Tara Javon Shaw | Case Manager/Care Coordinator | 650 S. Peoria, Tulsa, OK 74120-4426 | 2007-02-15 |
| 1538194675 | Tara A. Shaw | Family Medicine | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-07-11 |
| Street Address |
1821 S STOUGHTON RD |
| City | MADISON |
| State | WI |
| Zip Code | 53716-2257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679569024 | Amanda Jean Johnson | Physician Assistant | 1821 S Stoughton Rd, Dean Medical Center, Madison, WI 53716-2257 | 2005-09-21 |
| 1316544638 | Whitney M Wisecup | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2020-10-09 |
| 1063071157 | Kiley Dehaven | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-06-12 |
| 1013475656 | Shannon A Gedman | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2019-03-02 |
| 1295221059 | Emily Lyght | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716 | 2018-07-05 |
| 1497245674 | Julie J Empey | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-05-14 |
| 1184131864 | Heather E Solfelt | Dietitian, Registered | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2018-01-04 |
| 1508385519 | Jennifer D Foy | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716 | 2017-09-12 |
| 1336668276 | Teri L White | Nurse Practitioner | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-09-12 |
| 1457877284 | Jennifer L Wachholz | Physician Assistant | 1821 S Stoughton Rd, Madison, WI 53716-2257 | 2017-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730738873 | Richard Onyait | Technician | 1103 Birch Haven Cir, Monona, WI 53716 | 2019-09-11 |
| 1962950428 | Paige Corliss | Pharmacist | 1821 S. Stoughton Road, Madison, WI 53716 | 2016-09-13 |
| 1760840946 | Stacey Palermo | Marriage & Family Therapist | 303 Frost Woods Rd, Monona, WI 53716 | 2016-02-03 |
| 1326414442 | Diane Marie Kelley | Nurse Practitioner | 300 Femrite Drive, Monona, WI 53716 | 2015-08-12 |
| 1942692520 | Kelsey Lynn Markham | Counselor | 5900 Monona Drive, Suite 100, Monona, WI 53716 | 2015-02-19 |
| 1225452733 | Nicole Moscinski | Marriage & Family Therapist | 6117 Monona Dr Ste 1b, Monona, WI 53716 | 2014-02-05 |
| 1013345644 | Emma Amanda Rose | Physician Assistant | 521 Bowman Ave., Madison, WI 53716 | 2013-10-16 |
| 1407154271 | Jennifer Orshak | Registered Nurse | 5410 Forge Drive, Madison, WI 53716 | 2011-03-03 |
| 1982906525 | Jennifer Chun | Dentist | 100 River Pl Ste 110, Monona, WI 53716 | 2010-12-02 |
| 1609041987 | Jennifer A Britain | Physical Therapist | 1821 South Stoughton Rd, Madison, WI 53716 | 2008-04-28 |
| Find all providers in zip 53716 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356306062 | Eugene Kenny IIi | Physician Assistant | 942 Hidden Cave Rd, Madison, WI 53717-2758 | 2006-04-18 |
| 1437782190 | Peter Erik Schaal | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2020-02-20 |
| 1194370445 | Leslie Ann Mei | Physician Assistant | 600 Highland Ave, Madison, WI 53792-1423 | 2019-08-05 |
| 1689228025 | Cate Cavanagh | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2019-07-24 |
| 1013560523 | Kristine Ann Beyer | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2019-07-23 |
| 1265909519 | Kayli Kuhl | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-10-25 |
| 1366923492 | Jennifer Elise Schmidt | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-27 |
| 1184104036 | Samantha Jo Hensen | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-20 |
| 1447730809 | John Daniel Beck | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-08-15 |
| 1669968186 | Janyne Rochelle Bolliger | Physician Assistant | 600 Highland Ave, Madison, WI 53792-0001 | 2018-07-09 |
| Find all providers in MADISON | ||||
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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.