MICHELLE ROSEANN SHAW (NPI# 1932302759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932302759 |
| Entity Type | Individual |
| Full Name | MICHELLE ROSEANN SHAW |
| Credential | M.D. |
| Practice Address |
1500 Division St Oregon City OR 97045-1527 |
| Mailing Address |
Po Box 28122 Portland OR 97228-8122 |
| Practice Telephone | 5034493964 |
| Mailing Telephone | 5034493964 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD152189 | OR | Allopathic & Osteopathic Physicians |
| 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 |
| 1922334853 | Michelle Lynn Shaw | Physician Assistant | 4755 Ogletown Stanton Rd, Emergency Department, Newark, DE 19718-2200 | 2009-10-28 |
| 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 |
1500 DIVISION ST |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255320107 | Robert Charles Cutter | Pharmacist | 1500 Division St, Oregon City, OR 97045-1527 | 2005-10-13 |
| 1639685985 | Summer Ireland | Occupational Therapist | 1500 Division St, Oregon City, OR 97045-1527 | 2017-12-22 |
| 1639683105 | Vanessa Kemper | Nurse Practitioner | 1500 Division St, Oregon City, OR 97045-1527 | 2017-11-20 |
| 1477092658 | Tamara Takano | Dietitian, Registered | 1500 Division St, Oregon City, OR 97045-1527 | 2017-02-21 |
| 1780123125 | Lois Read | Dietitian, Registered | 1500 Division St, Oregon City, OR 97045-1527 | 2017-02-17 |
| 1972041515 | Kayla Kealoha Guillory | Dietitian, Registered | 1500 Division St, Oregon City, OR 97045-1527 | 2017-02-02 |
| 1003368911 | Providence Health & Services Oregon | Anesthesiology | 1500 Division St, Oregon City, OR 97045-1527 | 2016-10-26 |
| 1447660832 | Elaine Townsend | Registered Nurse | 1500 Division St, Oregon City, OR 97045-1527 | 2014-05-06 |
| 1962812131 | Tricia Meeker | Registered Nurse | 1500 Division St, Birthplace, Oregon City, OR 97045-1527 | 2014-04-28 |
| 1427477579 | Rebecca Duby | Emergency Medicine | 1500 Division St, Oregon City, OR 97045-1527 | 2014-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139418 | Larry Michael Wiedenhoft | Emergency Medicine | 465 Manzanita Ave, Manzanita, OR 97130-0810 | 2020-03-17 |
| 1184829244 | Se Jung Shin Md Professional Corporation | Emergency Medicine | 13305 Nw Cornell Road, Suite C, Portland, OR 97229 | 2007-06-19 |
| 1104028059 | Annameika Eve Goldring | Emergency Medicine | 3181 S.w. Sam Jackson Park Rd., Portland, OR 97239 | 2007-06-04 |
| 1053467985 | Brian Murray Auld | Emergency Medicine | 3621 Elderberry Dr S, Salem, OR 97302-4054 | 2007-01-25 |
| 1750448981 | Carl M Melina | Emergency Medicine | 18610 Nw Cornell Road, Suite 100, Hillsboro, OR 97124-9923 | 2007-01-03 |
| 1023103546 | Michael F. Mccaskill | Emergency Medicine | 436 Timber Lane, Grants Pass, OR 97526 | 2006-10-03 |
| 1366486912 | Mark A Stefanelli | Emergency Medicine | 2647 Grand Ave, Astoria, OR 97103-3329 | 2006-06-15 |
| 1801845953 | David Ernest Magaret | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2006-05-08 |
| 1649235219 | Victoria V Harris | Emergency Medicine | 100 E. Main Street, Suite C, Medford, OR 97501-6041 | 2006-04-18 |
| 1003870536 | Brad Barlow | Emergency Medicine | 351 Sw 9th St, Ontario, OR 97914-2639 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
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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.