Thomas R Shaw
MD | Pediatric Neonatal-Perinatal Medicine | Male
Thomas R Shaw, MD is a Grand Rapids, Michigan based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Thomas R Shaw is
100 Michigan St Ne, Mc 109 Attn Julie L, Grand Rapids, Michigan - 49503-2560. He can be contacted on phone at
616-391-1714.
Thomas R Shaw is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas R Shaw is
1043285489 which was assigned by NPPES on 21 Feb, 2006 and it was last updated on 28 Jul, 2008.
Thomas R Shaw license number is
4301044306 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Michigan.
Thomas R Shaw is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Thomas R Shaw basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Thomas R Shaw |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Thomas R 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 : | 100 Michigan St Ne, Mc 109 Attn Julie L
Grand Rapids, MI, 49503-2560
United States |
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| Phone Number : | 616-391-1714 |
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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 : | 1043285489 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Feb, 2006 |
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| Last Updated On : | 28 Jul, 2008 |
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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 Thomas R Shaw are as mentioned. Primary taxonomy code for Thomas R Shaw, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 4301044306 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Thomas R Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3504126341 | Other | MI | BCBS |
| 1558407189 | Other | MI | GROUP NPI |
| 1677700 | MEDICAID | MI | |
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 : | 100 Michigan St Ne
Grand Rapids, MI, 49503-2560
United States |
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Business Location:
Patients can refer following map for directions to
Thomas R 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.