Shenna J Shaw (NPI# 1053783134, PAC ID# 2163723925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053783134 |
| PAC ID by PECOS | 2163723925 |
| Professional Enrollment ID | I20151221000950 |
| Full Name | Shenna J Shaw |
| Organization Legal Name | METROLINA NEPHROLOGY ASSOCIATES PA |
| Address |
433 Cooperfield Blvd Ne Concord NC 28025-2405 |
| Phone Number | 7047867770 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022916600 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 | 7047867770 | METROLINA NEPHROLOGY ASSOCIATES PA |
| Organization Legal Name | METROLINA NEPHROLOGY ASSOCIATES PA |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mona Walid Shaban | Nephrology | Metrolina Nephrology Associates Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Dianne Sinclair Audette | Nurse Practitioner | Metrolina Nephrology Associates Pa | 928 Baxter St, Charlotte, NC 28204-2802 |
| Laura Reevey | Nurse Practitioner | Metrolina Nephrology Associates Pa | 1640 Campus Park Dr C, Monroe, NC 28112-5284 |
| Sonni May Sly | Nurse Practitioner | Metrolina Nephrology Associates Pa | 2349 Us Hwy 74 W, Wadesboro, NC 28170-7554 |
| Nancy Davis Marvin | Nurse Practitioner | Metrolina Nephrology Associates Pa | 1334 Central Ave, Charlotte, NC 28205-5010 |
| Cynthia D Shierts | Nurse Practitioner | Metrolina Nephrology Associates Pa | 111 Dorsett Dr, Salisbury, NC 28144-2278 |
| Tina M Kelly | Nurse Practitioner | Metrolina Nephrology Associates Pa | 1030 Vinehaven Nedr, Concord, NC 28025-2438 |
| Katerina Maria Jones | Nurse Practitioner | Metrolina Nephrology Associates Pa | 710 W Hudson Blvd, Gastonia, NC 28052-6300 |
| Angela Lamkin | Physician Assistant | Metrolina Nephrology Associates Pa | 9622 Kincey Ave, Huntersville, NC 28078-9140 |
| Melissa Bevins | Physician Assistant | Metrolina Nephrology Associates Pa | 910 Park Ctr Dr, Matthews, NC 28105-5032 |
| Street Address |
433 COOPERFIELD BLVD NE |
| City | CONCORD |
| State | NC |
| Zip | 28025-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mona Walid Shaban | Nephrology | Metrolina Nephrology Associates Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Nathan A Woolwine | Nephrology | Metrolina Nephrology Associates Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| John Gerig | Nephrology | Metrolina Nephrology Associates Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Bryan Hoag | Diagnostic Radiology | Charlotte Radiology Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Mehul Balubhal Patel | Nephrology | Metrolina Nephrology Associates Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Jeffrey Stein | Diagnostic Radiology | Charlotte Radiology Pa | 433 Cooperfield Blvd Ne, Concord, NC 28025-2405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CONCORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Shenna J Shaw.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.