Christopher Shaw
Internal Medicine

Address: 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297
Phone: 3305760500

Christopher Shaw (NPI# 1609059526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1609059526
Entity Type Individual
Full Name Christopher Shaw
Credential M.D.
Gender Male
Practice Address 822 Kumho Dr
Suite 202
Fairlawn
OH 44333-9297
Practice Telephone 3305760500
Practice Fax Number 3305760467
Mailing Address 822 Kumho Dr
Suite 202
Fairlawn
OH 44333
Mailing Telephone 3303108595
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-12-13
Last Update Date 2011-01-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 35-096616 OH
No 208M00000X Hospitalist Allopathic & Osteopathic Physicians 35-096616 OH

Other Providers CHRISTOPHER SHAW

NPI Name Taxonomy Address Enumeration
1316080195 Christopher Joseph Shaw General Acute Care Hospital 17 Prince Street, Unit 2, Jamaica Plain, MA 02130 2007-02-14
1730610338 Christopher Robin Shaw Student in an Organized Health Care Education/Training Program 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 2017-03-24
1124443619 Christopher J Shaw Counselor 2990 N Sioux Ave, Claremore, OK 74017-3700 2014-02-20
1982045696 Christopher Thomas Shaw Optometrist 200 S Main St, Du Bois, PA 15801-1578 2013-07-10
1588935795 Christopher G Shaw Nurse Anesthetist, Certified Registered 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 2012-01-19
1306127006 Christopher Leigh Shaw Physical Therapist 321 N Chambers St, Port Angeles, WA 98362-3919 2011-09-08
1164715330 Christopher C Shaw Emergency Medicine 800 Rose Street, Lexington, KY 40505-0298 2011-05-22
1124341508 Christopher Scott Shaw Social Worker 2525 Wallingwood Dr, Bldg 1 Ste 213, Austin, TX 78746-6900 2010-03-12
1407179690 Christopher Joel Shaw Physician Assistant 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7208 2010-03-02
1497917991 Christopher Michael Shaw Surgery 2301 Holmes St, Kansas City, MO 64108-2640 2008-06-26

Physician Overview

NPI 1609059526
PAC ID by PECOS 7719168095
Professional Enrollment ID I20110218000694
Full Name Christopher S Shaw
Organization Legal Name COMMUNITY HOSPITALIST, LLC
Phone Number 4409604000
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2002
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 5496648123
Number of Group Practice Members 201
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360098 LAKE HEALTH
360137 UNIVERSITY HOSPITALS CASE MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_47_1 Advance Care Plan 2%

Office Location

Street Address 822 KUMHO DR
SUITE 202
City FAIRLAWN
State OH
Zip Code 44333-9297

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265436109 Jeffrey J Janda Hospitalist 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2005-06-09
1619375086 Lindsay Brasko Nurse Practitioner 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2014-12-16
1619378866 John Robert Wood Nurse Practitioner 822 Kumho Dr, Fairlawn, OH 44333-9297 2014-09-08
1144653312 Nicole Marie King Nurse Practitioner 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2013-08-12
1063751386 Karen Marie Dillard Physician Assistant 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2013-02-06
1952618977 Shreebatsa Dhital Student in an Organized Health Care Education/Training Program 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2010-09-13
1588892756 Franciska Kiraly Internal Medicine 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2009-06-26
1003082785 Saba Sheik Internal Medicine 822 Kumho Dr, Ste 202, Fairlawn, OH 44333-9297 2008-05-02
1790968543 Devin Lee Nagy Internal Medicine 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2007-12-14
1164630208 Anthony J Muni Hospitalist 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2007-05-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619468105 Yellow Creek Primary Care, Inc. Family Medicine 3453 Granger Rd, Akron, OH 44333 2018-05-21
1952814329 Linda Long Behavior Analyst 3428 W. Market Street, Fairlawn, OH 44333 2017-11-08
1366967325 Heidi Harper Behavior Analyst 373 Stratford Rd., Fairlawn, OH 44333 2017-08-10
1215459151 Lisa Marie Kosley Registered Nurse 3250 West Market, Suite 2, Fairlawn, OH 44333 2017-07-12
1922484740 Let's Talk Quality Services, Inc. Day Training, Developmentally Disabled Services 462 Gresham Drive, Fairlawn, OH 44333 2015-08-04
1770973240 Amelia Evans Licensed Practical Nurse 3040 West Market St., Interim Healthcare, Akron, OH 44333 2015-02-04
1447649173 Verrelle Lee Wyatt Physical Therapist 3045 Smith Rd Ste 300, Fairlawn, OH 44333 2015-01-19
1164847836 Daniel Charles Hellinger Nurse Practitioner 231 Springside Drive, Akron, OH 44333 2014-03-04
1770908774 Mary Catherine Boettcher Speech-Language Pathologist 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 2014-02-27
1538590039 On Point Physical Therapy Clinic/Center 66 S. Miller Rd, Suite Ll5, Fairlawn, OH 44333 2013-12-09
Find all providers in zip 44333

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588683650 William Emory Polley Jr. Internal Medicine 3094 W Market St Ste 345, Fairlawn, OH 44333-3634 2006-07-19
1912941691 Prasad Medepalli Internal Medicine 15-01 Broadway (suite), Suite 38, Fairlawn, NJ 07410 2006-06-15
1396709697 Darrell Lynnn Grace Internal Medicine 822 Kumho Dr Ste 202, Fairlawn, OH 44333-5105 2006-04-13
1871553974 Garimah A Jones Internal Medicine 2651 W Market St, Suite 2, Fairlawn, OH 44333-4200 2006-03-24
1831178516 Robert K Seidel Internal Medicine 3624 W Market St Ste 103, Fairlawn, OH 44333-4510 2006-01-11
1770022089 Amy R Weidman Md LLC Internal Medicine 3610 W Market St, Ste 108, Fairlawn, OH 44333-9301 2017-02-20
1669786711 Samantha Marie T Almendras Internal Medicine 3600 W Market St, #200, Fairlawn, OH 44333-4540 2010-07-31
1922319706 Patrick Nduaguba Internal Medicine 822 Kumho Dr Ste 202, Fairlawn, OH 44333-5105 2010-06-28
1124356670 Summa Physicians Inc. Internal Medicine 3618 W Market St, #200, Fairlawn, OH 44333-2425 2009-11-20
1588892756 Franciska Kiraly Internal Medicine 822 Kumho Dr, Suite 202, Fairlawn, OH 44333-9297 2009-06-26
Find all providers in FAIRLAWN

Competitor

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City FAIRLAWN
Zip Code 44333

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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