Active NPI
Bernard Dennis Shaw, MED
- Speech-Language Pathologist
- Hermitage, PA
National Provider Identifier
1225148604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2191
- Practice address
- 1951 Shenango Valley Freeway
Hermitage, PA 16148-2522 - Phone
- (724) 347-2005
- Fax
- (724) 347-4484
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL000187L | PA | |
| Speech-Language Pathologist | 235Z00000X | SP2191 | OH | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AT000076L | PA | |
| Audiologist-Hearing Aid Fitter | 237600000X | F02191 | PA |
Addresses
Primary practice location
1951 Shenango Valley Freeway
Hermitage, PA 16148-2522
Mailing address
1951 Shenango Valley Freeway
Hermitage, PA 16148-2522
Phone (724) 347-2005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000114987 | Other | ANTHEM BCBS |
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)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP2191 | OH | MD | Speech-Language Pathologist |
| SL000187L | PA | MD | Speech-Language Pathologist |
| AT000076L | PA | MD | Audiologist-Hearing Aid Fitter |
| F02191 | PA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael D Rairigh,Au.D PLLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Hermitage, PA
- NPI 1154603421
Audiologist-Hearing Aid Fitter
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1225148604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 SHENANGO VALLEY FREEWAY",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161482522",
"telephone_number": "724-347-2005",
"fax_number": "724-347-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1951 SHENANGO VALLEY FREEWAY",
"city": "HERMITAGE",
"state": "PA",
"postal_code": "161482522",
"telephone_number": "724-347-2005",
"fax_number": "724-347-4484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "BERNARD",
"middle_name": "DENNIS",
"name_prefix": "Mr.",
"credential": "MED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL000187L",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP2191",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "AT000076L",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "PA",
"license": "F02191",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000114987",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, PA
- Sharon Regional Health System
- Sharon Regional Health System
- Sharon Regional Health System
- Sharon Regional Physician Services
- Sharon Regional Physicians Services
- Carrie Lou Sheehan, ATC
- Shenango Valley Chiropractic PC
- Shenango Valley Imaging Associates LLC
- Shenango Valley Orthodontics, LLC
- Shenango Valley YMCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.