James Sidney Shaw is a Podiatrist in Mankato, Minnesota. James Sidney Shaw practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for James Sidney Shaw is 1417057084. The last update date is 2007-12-17.
James Sidney Shaw's current location address is 65 Teton Ln, Mankato, Minnesota. You can contact this provider via phone number 5073453347 and fax number 5073457040. The mailing address for James Sidney Shaw is 65 Teton Ln, Mankato, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Sidney Shaw |
|---|---|
| Address | 65 Teton Ln, Mankato, Minnesota |
| Phone Number | 5073453347 |
| Fax Number | 5073457040 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1417057084 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-12-17 |
Provider Mailing Address Detail
| Address | 65 Teton Ln |
|---|---|
| City | Mankato |
| State | Minnesota (MN) |
| Post Code | 560014814 |
| Phone Number | 5073453347 |
| Fax Number | 5073457040 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 299 |
|
Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114354 | MN | UCARE | |
| 3875 | MN | MMSI | |
| V41124916441171 | MN | HEALTH PARTNERS | |
| 41564SH | MN | BLUE CROSS BLUE SHIELD | |
| 27-00637 | MN | MEDICA | |
| 41564SH | MN | BLUE PLUS | |
| 935341018502 | MN | PREFERRED ONE | |
| 115435 | MN | CHOICE PLUS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Sidney Shaw by the Centers for Medicare & Medicaid Services?
The James Sidney Shaw has been assigned the NPI (National Provider Identifier) 1417057084 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where James Sidney Shaw is located?
The James Sidney Shaw is situated at the following address: 65 Teton Ln, Mankato, MN, 560014814.
What is James Sidney Shaw's area of expertise and its corresponding taxonomy classification?
The James Sidney Shaw's field of specialization is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their areas of practice.
When did James Sidney Shaw receive its 1417057084 assignment?
The James Sidney Shaw was assigned its 1417057084 on 2006-09-24, which is the date when this unique identifier was issued to the organization.
When was the information related to James Sidney Shaw most recently updated or refreshed?
The details pertaining to the James Sidney Shaw, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-17.