Dr. Mary Jo Shaw
MD | Pediatrics | Female
Dr. Mary Jo Shaw, MD is a Coeur D Alene, Idaho based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mary Jo Shaw is
700 W Ironwood Dr, Suite 155, Coeur D Alene, Idaho - 83814-2656. She can be contacted on phone at
208-667-0585 and fax number 208-667-0876.
Dr. Mary Jo Shaw is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Mary Jo Shaw is
1316957202 which was assigned by NPPES on 09 Aug, 2006 and it was last updated on 18 Dec, 2013.
Dr. Mary Jo Shaw license number is
M5325 for Pediatrics (208000000X) in Idaho.
Dr. Mary Jo Shaw is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mary Jo Shaw basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Mary Jo Shaw |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Mary Jo Shaw address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 W Ironwood Dr, Suite 155
Coeur D Alene, ID, 83814-2656
United States |
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| Phone Number : | 208-667-0585 |
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| Fax Number : | 208-667-0876 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1316957202 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Aug, 2006 |
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| Last Updated On : | 18 Dec, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Jo Shaw are as mentioned. Primary taxonomy code for Dr. Mary Jo Shaw, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M5325 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Mary Jo Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 000010000163 | Other | ID | REGENCE BLUE SHIELD |
| 000396600 | MEDICAID | ID | |
| 1040476 | MEDICAID | WA | |
| 000010000162 | Other | ID | REGENCE BLUE SHIELD |
| DF474 | Other | ID | BLUE CROSS OF IDAHO |
| 53256 | Other | ID | BLUE CROSS OF IDAHO |
| 1316957202 | MEDICAID | MT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 W Ironwood Dr, Suite 155
Coeur D Alene, ID, 83814-2656
United States |
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| Phone Number : | 208-667-0585 |
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| Fax Number : | 208-667-0876 |
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Business Location:
Patients can refer following map for directions to
Dr. Mary Jo Shaw practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.