Vincent Lee Shaw in Baton Rouge - Sports Medicine
Vincent Lee Shaw - NPI 1154356491
Vincent Lee Shaw is a Sports Medicine in Baton Rouge, Louisiana. Vincent Lee Shaw practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Vincent Lee Shaw is 1154356491. The last update date is 2022-08-30.
Vincent Lee Shaw's current location address is 8490 Picardy Ave, Baton Rouge, Louisiana. You can contact this provider via phone number 2258191170 and fax number 2258191179. The mailing address for Vincent Lee Shaw is 8490 Picardy Ave, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Vincent Lee Shaw |
---|---|
Address | 8490 Picardy Ave, Baton Rouge, Louisiana |
Phone Number | 2258191170 |
Fax Number | 2258191179 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1154356491 |
---|---|
Provider Enumeration Date | 2006-07-12 |
Last Updated Date | 2022-08-30 |
Provider Mailing Address Detail
Address | 8490 Picardy Ave |
---|---|
City | Baton Rouge |
State | Louisiana (LA) |
Post Code | 708093731 |
Phone Number | 2258191170 |
Fax Number | 2258191179 |
Provider's Primary Taxonomy Detail
Speciality | Sports Medicine |
---|---|
Taxonomy | 207Qs0010X |
Licence No | 26422 |
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1058823 | LA | -- | |
26422 | LA | LA STATE LICENSE # | |
4J728YJGU | LA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Vincent Lee Shaw by the Centers for Medicare & Medicaid Services?
The Vincent Lee Shaw has been assigned the NPI (National Provider Identifier) 1154356491 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 physical location address of Vincent Lee Shaw?
The Vincent Lee Shaw is physically situated at 8490 Picardy Ave, in the city of Baton Rouge, state of LA, with the postal code 708093731.
What is Vincent Lee Shaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vincent Lee Shaw's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did Vincent Lee Shaw receive its 1154356491 assignment from the Centers for Medicare & Medicaid Services?
The Vincent Lee Shaw was assigned its 1154356491 on 2006-07-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Vincent Lee Shaw most recently updated or refreshed?
The details pertaining to the Vincent Lee Shaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-08-30.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM