GILLIAN S SHAW (NPI# 1982624318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982624318 |
| Entity Type | Individual |
| Full Name | GILLIAN S SHAW |
| Credential | MD |
| Practice Address |
317 E Johnson Ave Chelan WA 98816-2920 |
| Mailing Address |
600 Orondo Ave Ste 1 Wenatchee WA 98801-2800 |
| Practice Telephone | 5096826000 |
| Practice Fax Number | 5096626000 |
| Mailing Telephone | 5096626000 |
| Mailing Fax Number | 5096644590 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-11-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | MD00026804 | WA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | MD00026804 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8151359 | 05 | |
| WA | L&I | 48262 | 01 |
| Street Address |
317 E JOHNSON AVE |
| City | CHELAN |
| State | WA |
| Zip Code | 98816-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699722975 | Tamara Lynne Russell | Psychologist | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2006-05-30 |
| 1629414362 | Kami L Copenhaver | Dental Hygienist | 317 E Johnson Ave, Box 2920, Chelan, WA 98816-2920 | 2013-05-21 |
| 1083922504 | Terra D Taylor | Dental Hygienist | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2010-09-17 |
| 1871828400 | Nahuma M Galindo | Community Health Worker | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2009-10-15 |
| 1225363856 | Virginia W Palumbo | Registered Nurse | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2009-10-15 |
| 1659594646 | Jeff Hinckley | Dentist | 317 E Johnson Ave, # 2920, Chelan, WA 98816-2920 | 2007-04-10 |
| 1558399162 | James J Larsen | Family Medicine | 317 E Johnson Ave, Chelan, WA 98816-2920 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942852090 | Marshall Cy Whitener | Dentist | 111 E Chelan Ave, Chelan, WA 98816 | 2019-07-09 |
| 1508323080 | Anna Therese Fleming | Massage Therapist | 313 East Woodin Ave, Chelan, WA 98816 | 2019-02-21 |
| 1407329618 | Charlene Rose Mathews | Massage Therapist | 115 South Emerson St, Chelan, WA 98816 | 2019-01-10 |
| 1437648615 | Jessica Bliss Taylor | Massage Therapist | 313 E Woodin Ave, Chelan, WA 98816 | 2018-05-03 |
| 1295249605 | Chelan Spine LLC | Chiropractor | 130 E Chelan Avenue, Chelan, WA 98816 | 2017-11-21 |
| 1962911420 | Brandon Fromm | Chiropractor | 131 S Apple Blossom Dr, Chelan, WA 98816 | 2017-09-27 |
| 1689125049 | Melissa Dietrich | Dental Hygienist | Columbia Valley Community Health, 317 E Johnson Ave, Chelan, WA 98816 | 2016-10-20 |
| 1780130534 | Oro Starcher | Massage Therapist | 417 East Wapato Ave, Chelan, WA 98816 | 2016-08-31 |
| 1073973632 | Matthew Holman | Physical Therapy Assistant | 726 N Markeson, Chelan, WA 98816 | 2016-02-25 |
| 1861890360 | Erika Lee Scroggie | Registered Nurse | 407 E. Woodin Ave., Chelan, WA 98816 | 2014-12-15 |
| Find all providers in zip 98816 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649211731 | L Dana Petersen | Family Medicine | 11155 Railroad Creek Valley Rd, Holden Village Medic, Chelan, WA 98816 | 2006-06-09 |
| 1215900832 | Michael D.r. Travers | Family Medicine | 414 E Woodin Ave, Chelan, WA 98816-9648 | 2006-02-13 |
| 1780657338 | Charles J Waszkewitz | Family Medicine | 219 E. Johnson Ave., Chelan, WA 98816 | 2006-02-13 |
| 1407829435 | John A Kremer II | Family Medicine | 219 E Johnson Ave, Chelan, WA 98816-9160 | 2006-02-09 |
| 1558821264 | Andrew Lee Gray | Family Medicine | 105 S Apple Blossom Dr, Chelan, WA 98816-8810 | 2019-03-20 |
| 1659831386 | Christine Eileen Davenport-welter | Family Medicine | 105 S Apple Blossom Dr, Chelan, WA 98816-8810 | 2019-03-20 |
| 1245626084 | Joshua James Burnell | Family Medicine | 105 S Apple Blossom Dr, Chelan, WA 98816-8810 | 2015-04-08 |
| 1346593746 | Doctor Michael Travers Family Practice LLC | Family Medicine | 414 E Woodin Ave, Chelan, WA 98816-9648 | 2012-10-23 |
| 1578854840 | Keri B Bergeson | Family Medicine | 105 S Apple Blossom Dr, Chelan, WA 98816 | 2011-04-21 |
| 1548588064 | Jennifer C Snyder | Family Medicine | 105 S Apple Blossom Dr, Chelan, WA 98816 | 2010-05-07 |
| Find all providers in CHELAN | ||||
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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.