Kimberlee Dilda Shaw (NPI# 1245436203, PAC ID# 5799801817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1245436203 |
| PAC ID by PECOS | 5799801817 |
| Professional Enrollment ID | I20100927000866 |
| Full Name | Kimberlee Dilda Shaw |
| Organization Legal Name | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Address |
301 E Wendover Ave Suite 215 Greensboro NC 27401-1207 |
| Phone Number | 3363791156 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0244134468 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340091 | MOSES H. CONE MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 | 3363791156 | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Organization Legal Name | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Physicians | 80 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin L Little | Family Medicine | Eagle Physicians and Associates Pa | 1210 New Garden Rd, Greensboro, NC 27410-2721 |
| Robert Reade | Family Medicine | Eagle Physicians and Associates Pa | 3511 W Market St, Suite A, Greensboro, NC 37403-4442 |
| Donna R Gates | Family Medicine | Eagle Physicians and Associates Pa | 3800 Robert Procher Way, Greensboro, NC 27410-2190 |
| Robert Fried | Family Medicine | Eagle Physicians and Associates Pa | 1510 N Nc Hwy 68, Oak Ridge, NC 27310-9733 |
| Chad Rund | Pathology | Eagle Physicians and Associates Pa | 1002 N Church St, Greensboro, NC 27401-1439 |
| Anna Becker | Physician Assistant | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 |
| Evelyn Williams Varnado | Obstetrics/gynecology | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1231 |
| Samandra N Tann | Nurse Practitioner | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 |
| Lewis D Mitchell | Family Medicine | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 |
| Deborah D Schoenhoff | Internal Medicine | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 |
| Street Address |
301 E WENDOVER AVE SUITE 215 |
| City | GREENSBORO |
| State | NC |
| Zip | 27401-1207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Taylor Mackenzie Dale | Physician Assistant | Moses Cone Physician Services, Inc | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1211 |
| Melinda A Blietz | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Tracey Nicole Aguilar | Physician Assistant | Moses Cone Physician Services, Inc | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1211 |
| Suzanne Nickel | Nurse Practitioner | Moses Cone Physician Services, Inc | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1211 |
| Stephanie Nicole Dixon | Nurse Practitioner | The Moses H Cone Memorial Hospital Operating Corporation | 301 E Wendover Ave, Suite 311, Greensboro, NC 27401-1210 |
| Regina Th Alexander | Clinical Social Worker | The Moses H Cone Memorial Hospital Operating Corporation | 301 E Wendover Ave, Suite 111, Greensboro, NC 27401-1209 |
| Anna Becker | Physician Assistant | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1207 |
| Paul D Barry | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Evelyn Williams Varnado | Obstetrics/gynecology | Eagle Physicians and Associates Pa | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1231 |
| John Allen Stahl | Diagnostic Radiology | Diagnostic Radiology and Imaging LLC | 301 E Wendover Ave, Suite 100, Greensboro, NC 27401-1230 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olugbemiga E Jegede | Internal Medicine | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Emma M Collins | Physician Assistant | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Adam Scott Curatolo | Emergency Medicine | Wake Forest University Health Sciences | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Murali Ramaswamy | Pulmonary Disease | Moses Cone Medical Services Inc | 1200 N Elm St, Suite 5, Greensboro, NC 27401-1004 |
| Robyn R Browder | Certified Registered Nurse Anesthetist (crna) | The Moses H Cone Memorial Hospital Operating Corporation | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Anupama Matcha | Internal Medicine | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Amy D Clegg | Nurse Practitioner | The Moses H Cone Memorial Hospital Operating Corporation | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Bryan K Bartle | Cardiac Surgery | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| James M Owens | Physician Assistant | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Andrew E Kirsteins | Physical Medicine and Rehabilitation | Moses Cone Physician Services, Inc | 1200 N Elm St, Greensboro, NC 27401-1004 |
| Find all physicians in zip 27401 | |||
| City | GREENSBORO |
| Zip Code | 27401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GREENSBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kimberlee Dilda 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.