MICHELLE LYNN SHAW (NPI# 1922334853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922334853 |
| Entity Type | Individual |
| Full Name | MICHELLE LYNN SHAW |
| Other Name | MICHELLE LYNN NALLY |
| Credential | PA-C |
| Practice Address |
4755 Ogletown Stanton Rd Emergency Department Newark DE 19718-2200 |
| Practice Telephone | 3027331000 |
| Mailing Telephone | 3027331000 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
C5-0000806 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647868 | Michelle Shaw | Licensed Practical Nurse | 3276 Kingsland Ave, Bronx, NY 10469-2710 | 2019-09-11 |
| 1033753991 | Michelle Carly Shaw | Behavior Technician | 11476 S Apopka Vineland Rd Ste 118, Orlando, FL 32836-7006 | 2019-11-04 |
| 1912385469 | Michelle Ann Shaw | Counselor | 12440 Firestone Blvd Ste 316, Norwalk, CA 90650-9319 | 2015-05-15 |
| 1932302759 | Michelle Roseann Shaw | Emergency Medicine | 1500 Division St, Oregon City, OR 97045-1527 | 2007-06-08 |
| 1356467369 | Michelle Shaw | Occupational Therapist | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2007-03-21 |
| 1821103367 | Michelle Marie Shaw | Social Worker | 66 Stone St, Augusta, ME 04330-5227 | 2006-08-21 |
| Street Address |
4755 OGLETOWN STANTON RD EMERGENCY DEPARTMENT |
| City | NEWARK |
| State | DE |
| Zip Code | 19718-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144223850 | Erik S Marshall | Internal Medicine | 4755 Ogletown Stanton Rd, Christiana Hospital Suite 1e30, Newark, DE 19718-2200 | 2005-05-27 |
| 1073114740 | Helen Mutoko | Registered Nurse | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-11-08 |
| 1245839786 | Julie Pifer | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-24 |
| 1447859681 | Emily Gorrin | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-20 |
| 1033717657 | Amy Aucott | Respiratory Therapist, Registered | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-15 |
| 1235736083 | Morgan Hudson | Occupational Therapist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-10-05 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1033725346 | Kacee Jo Verhovec | Pharmacist | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-22 |
| 1457966780 | Braden J Schroeder | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-14 |
| 1497367155 | Christina Hoddinott | Nurse Practitioner | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679026272 | Vikashsingh Parshin Rambhujun | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Road, Suite 2875, Newark, DE 19718 | 2016-07-29 |
| 1730536053 | David Nathan Levine | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, Christiana Health Care, Newark, DE 19718 | 2016-05-17 |
| 1831570332 | Waqas Abid | Student in an Organized Health Care Education/Training Program | 4755 Ogletown-stanton Rd, S-le45, Newark, DE 19718 | 2015-06-11 |
| 1366886368 | Amanda J Taylor | Family Medicine | 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 | 2013-04-20 |
| 1114360872 | Kalpana Suresh | Surgery | 4755 Ogletown-stanton Rd., Newark, DE 19718 | 2013-04-12 |
| 1568580769 | Ember L. Crevar | Pediatrics | 4755 Ogletown Stanton Rd., Christiana Care Hospital - Dept. of Pediatrics, Newark, DE 19718 | 2007-03-26 |
| 1336283803 | Kevin William Smallwood | Physician Assistant | 4755 Ogletown-stanton Dr, Suite 1e50, Newark, DE 19718 | 2007-02-17 |
| 1023066404 | Samuel G Putnam IIi | Radiology | 4755 Ogletown Santon Road, Suite 1e20, Newark, DE 19718 | 2006-05-05 |
| 1053374181 | Hung Quang Dam | Nuclear Medicine | Nuclear Medicine, 4755 Ogletown-stanton Rd, Newark, DE 19718 | 2006-04-10 |
| 1346211018 | Robert Flinn | Internal Medicine | 4655 Ogletown-stanton Road, Suite 5343, Newark, DE 19718 | 2006-01-30 |
| Find all providers in zip 19718 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457702177 | Jacinta Hollinger | Physician Assistant | C78-80 Omega Dr, Newark, DE 19713-2076 | 2016-06-23 |
| 1851709877 | Bethany Anne Melo | Physician Assistant | 4755 Ogletown Stanton Rd Fl 3, Newark, DE 19718-2200 | 2014-07-23 |
| 1437442357 | Sherifa P Julien-johnson | Physician Assistant | 238 Mulberry St, Newark, NJ 07102-3528 | 2011-05-25 |
| 1821319997 | Melva M Brown | Physician Assistant | 354 Doremus Ave, Newark, NJ 07105-4882 | 2010-06-11 |
| 1437303302 | Helen Brightman | Physician Assistant | 150 Bergen St # H245, Newark, NJ 07103-2496 | 2008-11-05 |
| 1669657623 | John Stewart Constance | Physician Assistant | Christiana Care Health System Dept of Medicine, 4755 Ogletown-stanton Rd., Newark, DE 19718-0001 | 2008-01-08 |
| 1114935152 | Susan E Matarese | Physician Assistant | 1200 Peoples Plz, Suite 1285, Newark, DE 19702-5701 | 2006-08-04 |
| 1306453766 | Justin Michael Pipoli | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2020-09-29 |
| 1710596895 | Alyssa N Floyd | Physician Assistant | 78 Omega Dr Bldg C, Newark, DE 19713-2064 | 2020-07-24 |
| 1649898834 | Nicholas D Biermann | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-14 |
| Find all providers in NEWARK | ||||
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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.