Gary Y. Shaw in Canton - Otolaryngology/facial Plastic Surgery
Gary Y. Shaw - NPI 1912940958
Gary Y. Shaw is a Otolaryngology/facial Plastic Surgery in Canton, Illinois. Gary Y. Shaw practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Gary Y. Shaw is 1912940958. The last update date is 2021-04-13.
Gary Y. Shaw's current location address is 180 S Main St, Canton, Illinois. You can contact this provider via phone number 3096470201 and fax number 3096495101. The mailing address for Gary Y. Shaw is 180 S Main St, Canton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Y. Shaw |
|---|---|
| Address | 180 S Main St, Canton, Illinois |
| Phone Number | 3096470201 |
| Fax Number | 3096495101 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912940958 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2021-04-13 |
Provider Mailing Address Detail
| Address | 180 S Main St |
|---|---|
| City | Canton |
| State | Illinois (IL) |
| Post Code | 615202608 |
| Phone Number | 3096470201 |
| Fax Number | 3096495101 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 109774 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary Y. Shaw by the Centers for Medicare & Medicaid Services?
The Gary Y. Shaw has been assigned the NPI (National Provider Identifier) 1912940958 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gary Y. Shaw?
The Gary Y. Shaw is situated at 180 S Main St, in the city of Canton, state of IL, with the zip code 615202608.
What is Gary Y. Shaw's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary Y. Shaw is Otolaryngology/facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Yx0905X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912940958 to Gary Y. Shaw?
The Centers for Medicare & Medicaid Services assigned the 1912940958 to Gary Y. Shaw on 2006-06-14.
When was the information pertaining to Gary Y. Shaw most recently updated or revised?
The details related to Gary Y. Shaw, including its address, specialty, and other relevant information, were last updated or revised on 2021-04-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY