Kenneth Neil Shaw in Sevierville - Emergency Medicine
Kenneth Neil Shaw - NPI 1124060249
Kenneth Neil Shaw is a Emergency Medicine in Sevierville, Tennessee. Kenneth Neil Shaw practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kenneth Neil Shaw is 1124060249. The last update date is 2007-11-29.
Kenneth Neil Shaw's current location address is 709 Middle Creek Rd, Sevierville, Tennessee. You can contact this provider via phone number 8654537111. The mailing address for Kenneth Neil Shaw is 709 Middle Creek Rd, Sevierville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Neil Shaw |
|---|---|
| Address | 709 Middle Creek Rd, Sevierville, Tennessee |
| Phone Number | 8654537111 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124060249 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-11-29 |
Provider Mailing Address Detail
| Address | 709 Middle Creek Rd |
|---|---|
| City | Sevierville |
| State | Tennessee (TN) |
| Post Code | 378625047 |
| Phone Number | 8654537111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | MD021361 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3081457 | TN | BLUE CROSS | |
| 154929 | TN | BLUE CROSS | |
| 3816910 | TN | -- | |
| P00211373 | TN | RAILROAD MEDICARE | |
| P00312153 | TN | RAILROAD MEDICARE | |
| 3816911 | TN | -- | |
| 64035975 | KY | -- |
Post Comment/ Review Below
What is the Kenneth Neil Shaw's unique identification number?
The Kenneth Neil Shaw has been assigned the NPI (National Provider Identifier) Number 1124060249 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kenneth Neil Shaw is located?
The Kenneth Neil Shaw is situated at the following address: 709 Middle Creek Rd, Sevierville, TN, 378625047.
What is the Kenneth Neil Shaw's area of specialization and corresponding taxonomy classification?
The Kenneth Neil Shaw's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124060249 to Kenneth Neil Shaw?
The Centers for Medicare & Medicaid Services originally issued the 1124060249 to Kenneth Neil Shaw on 2006-06-12.
When was the Kenneth Neil Shaw's information last updated?
The Kenneth Neil Shaw's information was last updated on 2007-11-29.