Steven J Shaw (NPI# 1922269737, PAC ID# 8820268550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1922269737 |
| PAC ID by PECOS | 8820268550 |
| Professional Enrollment ID | I20110907000805 |
| Full Name | Steven J Shaw |
| Organization Legal Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Address |
1838 Martin Luther King Jr Blvd Chapel Hill NC 27514-7415 |
| Phone Number | 9199427278 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 1355254368 |
| Number of Group Practice Members | 2199 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340049 | NORTH CAROLINA SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 | 9199427278 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 300 Meadowmont Village Cir, Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 | 9199678052 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 4102 N Roxboro St, Durham, NC 27704-2122 | 9193742225 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| 5726 Fayetteville Rd, Durham, NC 27713-6296 | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PRIVATE DIAGNOSTIC CLINIC PLLC |
| Physicians | 2411 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Calvin Osoro Motika | Anesthesiology | Private Diagnostic Clinic Pllc | Harris Smith Ob/gyn, 3000 Meadowmont Village Circle Suite 311, Chapel Hill, NC 27517-7518 |
| Sharon Clancy | Plastic and Reconstructive Surgery | Private Diagnostic Clinic Pllc | 3300 Executive Dr, Suite 303, Raleigh, NC 27609-7492 |
| Kenneth Martin Weinlander | Ophthalmology | Private Diagnostic Clinic Pllc | 1340 Creekshire Way, Winston Salem, NC 27103-3063 |
| James M Poole | Pediatric Medicine | Private Diagnostic Clinic Pllc | 11130 Capital Blvd, Wake Forest, NC 27587-4513 |
| Chamia N Maker | Nurse Practitioner | Private Diagnostic Clinic Pllc | 4101 Macon Pond Rd, Raleigh, NC 27607-6319 |
| Stuart D Russell | Advanced Heart Failure and Transplant Cardiology | Private Diagnostic Clinic Pllc | 6301 Herndon Rd, Durham, NC 27713-6315 |
| Jennifer E Snyder | Nurse Practitioner | Private Diagnostic Clinic Pllc | 30 Duke Medicine Cir, Durham, NC 27710-3000 |
| Christpher Scott Klifto | Orthopedic Surgery | Private Diagnostic Clinic Pllc | 3609 Sw Durham Dr, Durham, NC 27707-6507 |
| William A Jiranek | Orthopedic Surgery | Private Diagnostic Clinic Pllc | 4709 Creekstone Dr, Durham, NC 27703-9822 |
| Karen Christine Baker | Urology | Private Diagnostic Clinic Pllc | 5704 Fayetteville Rd, Durham, NC 27713-9089 |
| Street Address |
1838 MARTIN LUTHER KING JR BLVD |
| City | CHAPEL HILL |
| State | NC |
| Zip | 27514-7415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Simon | Ophthalmology | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Kellye Christine Carder | Qualified Audiologist | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Hannah M Brown | Qualified Audiologist | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Patricia A Wild | Qualified Audiologist | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Kathy K Yu | Otolaryngology | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Melissa Rightor | Qualified Speech Language Pathologist | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Benjamin Scott Oberman | Otolaryngology | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Sara Young | Qualified Audiologist | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Brad P Novey | Ophthalmology | Private Diagnostic Clinic Pllc | 1838 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pierre Yves Dubois | Chiropractic | 976 Martin Luther King Dr Blvd, Chapel Hill, NC 27514 | |
| Randy Sellers | Psychiatry | 211 Providence Raod, Chapel Hill, NC 27514 | |
| Janet M Cain | Clinical Social Worker | 102 Creekside Ln, Chapel Hill, NC 27514-1409 | |
| Michelle R V Faber | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. | 750 Weaver Dairy Rd, Chapel Hill, NC 27514-1438 |
| Melissa Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. | 750 Weaver Dairy Rd, Chapel Hill, NC 27514-1438 |
| Gloria Jean Templeton | Psychologist, Clinical | 750 Weaver Dairy Rd, Chapel Hill, NC 27514-1438 | |
| Jennifer Holland Eller | Clinical Social Worker | 750 Weaver Dairy Rd, Carol Woods, Chapel Hill, NC 27514-1438 | |
| Clifford Harold Schilke | Psychiatry | 630 Weaver Dairy Rd, Suite 104, Chapel Hill, NC 27514-1479 | |
| Tara N Mitchell | Clinical Social Worker | Unc Physicians Network LLC | 1181 Weaver Dairy Rd, Suite 250, Chapel Hill, NC 27514-1576 |
| Caroline King | Registered Dietitian Or Nutrition Professional | Unc Physicians Network LLC | 1181 Weaver Dairy Rd, Chapel Hill, NC 27514-1576 |
| Find all physicians in zip 27514 | |||
| City | CHAPEL HILL |
| Zip Code | 27514 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CHAPEL HILL + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Steven 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.