Shaw P Wan Urology PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

SHAW P WAN UROLOGY PLLC

Practice address

1009 North 6TH Street
Albemarle, NC 28001

Phone

(704) 982-2800

Fax

(704) 982-2830

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Shaw P Wan, MD

Title

President

Phone

(704) 982-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316967656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NORTH 6TH STREET",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "28001",
            "telephone_number": "704-982-2800",
            "fax_number": "704-982-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NORTH 6TH STREET",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "28001",
            "telephone_number": "704-982-2800",
            "fax_number": "704-982-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW P WAN UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "SHAW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-982-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903073",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Charles Seltzer, MD
• Raman Seth
• Leah Kay Sexton, PT, DPT
• Kenneth Douglas Shank, DO
• Matthew Allen Shaver, MD
• Brianna Shaw, COTA
• John Shen, MD
• Carla Shepherd, OTR/L
• Scott Anderson Sherrill, MD
• Erika Shew

• Urology Physician in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.