Ernest C Shaw, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

099260 Issued in NY

Practice address

179 Binnewater Rd
Kingston, NY 12401-8423

Phone

(845) 331-1285

Fax

(845) 338-2518

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of Ny Upstate Medical University, 1966

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1114985587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BINNEWATER RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124018423",
            "telephone_number": "845-331-1285",
            "fax_number": "845-338-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 BINNEWATER RD",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124018423",
            "telephone_number": "845-331-1285",
            "fax_number": "845-338-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ERNEST",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "099260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488022",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Shanahan-Roberge, BA, RN
• Rasheedah Shardow, MD
• Yasar Sharif, M.D.
• Che Wharton Sharp, P.T.
• Diana Marie Shaver
• Jessica Shaw, LCSW
• Joanna Rose Shaw, COTA
• Noreen Marie Sheehan
• Maryann E Sheeley, R.PH.
• Jennifer Laura Shepherd, MSW

• Psychiatry Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.