Marshall D Shaw (NPI# 1225442841, PAC ID# 5799084307) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1225442841 |
PAC ID by PECOS | 5799084307 |
Professional Enrollment ID | I20190904000885 |
Full Name | Marshall D Shaw |
Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
Address |
1201 S Adams St Stillwater OK 74074-5476 |
Phone Number | 4053773858 |
Gender | M |
Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 2365353794 |
Number of Group Practice Members | 126 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370049 | STILLWATER MEDICAL CENTER |
370139 | PERRY MEMORIAL HOSPITAL AUTHORITY |
Address | Phone | Organization |
---|---|---|
1201 S Adams St, Stillwater, OK 74074-5476 | 4053773858 | STILLWATER MEDICAL CENTER AUTHORITY |
Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
Physicians | 110 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jaime Lyn Griffith | Family Medicine | Stillwater Medical Center Authority | 600 S Linwood Ave A, Cushing Primary Care, Cushing, OK 74023-4630 |
Rahmah Hall | Physician Assistant | Stillwater Medical Center Authority | 1412 Fir St, Perry, OK 73077-5036 |
Jeremiah Bro | Nurse Practitioner | Stillwater Medical Center Authority | 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381 |
Catherine Kindt | Nurse Practitioner | Stillwater Medical Center Authority | 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402 |
Julia K Fell | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
Jon M Johnson Ii | Internal Medicine | Stillwater Medical Center Authority | 608 S Hester, Stillwater, OK 74074-4516 |
Marshall A Walker | Optometry | Stillwater Medical Center Authority | 707 S Western Rd, Stillwater, OK 74074-4126 |
Mindy A Mcgee | Physician Assistant | Stillwater Medical Center Authority | 414 W Hwy 64, Morrison, OK 73061-9494 |
William R Ford | Obstetrics/gynecology | Stillwater Medical Center Authority | 1411 W 7th Ave, 202 Sw Women's Clinic, Stillwater, OK 74074-4300 |
Robert W Lauvetz | Urology | Stillwater Medical Center Authority | 816 S Pine St, Stillwater, OK 74074-4349 |
Street Address |
1201 S ADAMS ST |
City | STILLWATER |
State | OK |
Zip | 74074-5476 |
Name | Specialty | Organization | Address |
---|---|---|---|
John R Wedlake | Neurology | Stillwater Neurology LLC | 1201 S Adams St, Stillwater, OK 74074-5476 |
Donald E Crawley | Otolaryngology | Stillwater Medical Center Authority | 1201 S Adams St, Sw Otolaryngology, Stillwater, OK 74074-5476 |
Amy O Hardin | Pediatric Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Sw Inter Medicine/pediat, Stillwater, OK 74074-5476 |
Elisa A Davis | Internal Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater Pediatrics, Stillwater, OK 74074-5476 |
Stephen Edward Smalley | Pediatric Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Sw Inter Medicine/pediat, Stillwater, OK 74074-5476 |
Amy K Alberty | Nurse Practitioner | Stillwater Neurology LLC | 1201 S Adams St, Stillwater, OK 74074-5476 |
Krystal Marie Voight | Internal Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater Pediatrics, Stillwater, OK 74074-5476 |
Christopher J Goff | Otolaryngology | Stillwater Medical Center Authority | 1201 S Adams St, Sw Otolaryngology, Stillwater, OK 74074-5476 |
Nathan J Rademaker | Urology | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater, OK 74074-5476 |
Name | Specialty | Organization | Address |
---|---|---|---|
Charles R Horner Jr. | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
Brandon R Mason | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
Phillip G Russell | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
Kenda G Baker | Physician Assistant | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
Thomas C Hall | Dermatology | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
Deanna J Cummings | Physician Assistant | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
Sara K Metcalf | Dermatology | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
J Weston H. Reese | Chiropractic | Reese Chiropractic and Wellness, P.C. | 1505 S Sangre Rd, Stillwater, OK 74074-1869 |
Ashton Nicole Shelton | Chiropractic | Reese Chiropractic and Wellness, P.C. | 1505 S Sangre Rd, Stillwater, OK 74074-1869 |
Jennifer Pauline Childers | Clinical Social Worker | Jennifer Childers Lcsw Counseling LLC | 2324 W 7th Pl, Stillwater, OK 74074-1927 |
Find all physicians in zip 74074 |
City | STILLWATER |
Zip Code | 74074 |
Specialty | UROLOGY |
City + Specialty | STILLWATER + UROLOGY |
Please comment or provide details below to improve the information on Marshall D 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.