Ronald L Shaw (NPI# 1922099555, PAC ID# 3173539889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1922099555 |
| PAC ID by PECOS | 3173539889 |
| Professional Enrollment ID | I20060306000208 |
| Full Name | Ronald L Shaw |
| Organization Legal Name | DAVITA MEDICAL GROUP FLORIDA CI, LLC |
| Address |
202 N Park Ave Apopka FL 32703-4148 |
| Phone Number | 4078894711 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840550562 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100007 | FLORIDA HOSPITAL |
| 100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 202 N Park Ave, Apopka, FL 32703-4148 | 4078894711 | DAVITA MEDICAL GROUP FLORIDA CI, LLC |
| 10051 5th St N, Suite 200, St Petersburg, FL 33702-2211 | 7272864093 | OPTUMCARE FLORIDA, LLC |
| Organization Legal Name | DAVITA MEDICAL GROUP FLORIDA CI, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Musaddeque Ahmad | Internal Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Lindsey Newman-dufresne | Family Medicine | Davita Medical Group Florida Ci, LLC | 2304 Aloma Ave, Suite 100, Winter Park, FL 32792-3330 |
| Jennifer L Hart | Nurse Practitioner | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Nadia Rivera | Family Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Rudina Priska | Family Medicine | Davita Medical Group Florida Ci, LLC | 2304 Aloma Ave, Suite 100, Winter Park, FL 32792-3330 |
| Roberto S Perez | Family Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Kelly Osullivan Stobbe | Physician Assistant | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Kristen Emery | Nurse Practitioner | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Street Address |
202 N PARK AVE |
| City | APOPKA |
| State | FL |
| Zip | 32703-4148 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Musaddeque Ahmad | Internal Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Jennifer L Hart | Nurse Practitioner | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Nadia Rivera | Family Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Roberto S Perez | Family Medicine | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Kelly Osullivan Stobbe | Physician Assistant | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Kristen Emery | Nurse Practitioner | Davita Medical Group Florida Ci, LLC | 202 N Park Ave, Apopka, FL 32703-4148 |
| Douglas M Childs | Podiatry | Orlando Foot and Ankle Clinic Inc | 202 N Park Ave, Suite 500, Apopka, FL 32703-4314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Ray Stevenson | Pulmonary Disease | Dennis R Stevenson Md Pa | 5994 Mountbatten Cv, Apopka, FL 32703-1950 |
| Louis R Mavrides | Psychologist, Clinical | 5275 Pineview Way, Apopka, FL 32703-1962 | |
| Patrick Edward Tolan Iii | Physician Assistant | Theo Medical Dermatology LLC | 201 N Park Ave, Suite 201, Apopka, FL 32703-2507 |
| Robert W Rowe | Family Medicine | I Am Healthy, LLC | 201 N Park Ave, Suite 201, Apopka, FL 32703-4147 |
| Pawini Khanna | Pathology | Central Florida Pathology Associates Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Ricky W Rike | Certified Registered Nurse Anesthetist (crna) | U S Anesthesia Partners of Florida Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Edwin R Martinez | Cardiovascular Disease (cardiology) | Florida Cardiology Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Anthony Bonanno | Anesthesiology | U S Anesthesia Partners of Florida Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Chung-che Chang | Pathology | Central Florida Pathology Associates Pa | 201 N Park Ave, Apopka, FL 32703-4147 |
| Diana P Balsalobre | Neurology | Florida Hospital Medical Group Inc | 201 N Park Ave, Apopka, FL 32703-4147 |
| Find all physicians in zip 32703 | |||
| City | APOPKA |
| Zip Code | 32703 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | APOPKA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ronald L 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.