Active NPI
Jane Shaw, MD
- Family Medicine Physician
- Charlottesville, VA
National Provider Identifier
1093789232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101048714
- Practice address
- 416 Albemarle SQ
Charlottesville, VA 22901-7400 - Phone
- (434) 978-2126
- Fax
- (434) 973-4452
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101048714 | VA | Primary |
Addresses
Primary practice location
416 Albemarle SQ
Charlottesville, VA 22901-7400
Mailing address
416 Albemarle SQ
Charlottesville, VA 22901-7400
Phone (434) 978-2126
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080141642 | Other | VA | MEDICARE PIN |
| 142736 | Other | VA | SOUTHERN HEALTH |
| 005638631 | Medicaid | VA | |
| 700010936 | Other | VA | CIGNA |
| 45186 | Other | VA | COMMUNITY HEALTH |
| 45186 | Other | VA | OPTIMA/SENTARA |
| 234066 | Other | VA | ANTHEM SVC/HEALTHKEEPERS |
| 267131 | Other | VA | MAMSI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334793600000",
"number": "1093789232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ALBEMARLE SQ",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229017400",
"telephone_number": "434-978-2126",
"fax_number": "434-973-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 ALBEMARLE SQ",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229017400",
"telephone_number": "434-978-2126",
"fax_number": "434-973-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2012-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101048714",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "080141642",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "142736",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005638631",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "700010936",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY HEALTH",
"identifier": "45186",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA/SENTARA",
"identifier": "45186",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM SVC/HEALTHKEEPERS",
"identifier": "234066",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "267131",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.