Donald D Shaw in Wellsboro - Sports Medicine

Donald D Shaw - NPI 1174531461

Donald D Shaw is a Sports Medicine in Wellsboro, Pennsylvania. Donald D Shaw practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Donald D Shaw is 1174531461. The last update date is 2008-04-16.

Donald D Shaw's current location address is 32-36 Central Ave, Wellsboro, Pennsylvania. You can contact this provider via phone number 5707230140 and fax number 5707246541. The mailing address for Donald D Shaw is 32-36 Central Ave, Wellsboro, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald D Shaw
Address 32-36 Central Ave, Wellsboro, Pennsylvania
Phone Number 5707230140
Fax Number 5707246541
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1174531461
Provider Enumeration Date 2006-08-03
Last Updated Date 2008-04-16

Provider Mailing Address Detail

Address 32-36 Central Ave
City Wellsboro
State Pennsylvania (PA)
Post Code 169011840
Phone Number 5707230140
Fax Number 5707246541

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Ps0010X
Licence No OS004233L
Definition:
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
217744 PA UPMC
7174090001 PA --
SH145926 PA BC/BS

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FAQs about Donald D Shaw

What is the unique 10-digit identification code issued to Donald D Shaw by the Centers for Medicare & Medicaid Services?

The Donald D Shaw has been assigned the NPI (National Provider Identifier) 1174531461 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Donald D Shaw is physically located?

The Donald D Shaw is physically situated at the following address: 32-36 Central Ave, Wellsboro, PA, 169011840.

What is Donald D Shaw's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald D Shaw is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Ps0010X.

On what date was the 1174531461 assigned to Donald D Shaw?

The Donald D Shaw was issued its 1174531461 on 2006-08-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Donald D Shaw's information last updated?

The Donald D Shaw's information was last updated on 2008-04-16.

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