Jennifer Gale Shaw, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

61224 Issued in AZ

Practice address

6678 W Thunderbird Rd
Glendale, AZ 85306-3721

Phone

(602) 978-1500

Fax

(602) 978-0409

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jennifer Gale Halem Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Obstetrics/Gynecology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jshaw28304@scrippshlth.medalliesdirect.net
• Direct secure messaging: jennifer.shaw.p1@direct.dwobgyn.nextgenshare.com

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.

• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917
  Medicare reassignment Care Compare group
• Desert West Obstetrics & Gynecology LTD

  • Obstetrics & Gynecology Physician
  • Glendale, AZ
  • NPI 1588654560
  Medicare reassignment NPD
• Obhg Arizona, P.C.

  • Obstetrics & Gynecology Physician
  • Chandler, AZ
  • NPI 1902188642
  Medicare reassignment NPD
• Honorhealth Ambulatory

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1619679677
  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  NPD (past)
• Honorhealth Ambulatory

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
  • NPI 1275833915
  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1346444015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6678 W THUNDERBIRD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063721",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JENNIFER",
        "middle_name": "GALE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A88810",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "61224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "61224",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A88810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HALEM",
            "middle_name": "GALE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sharon a Bell PSYD PLLC
• Divya Shastri
• Katie L Shaul, RD
• Anthony James Shaw, AGACNP-BC
• Gerald P Shaw, MD
• Olivia Michelle Shaw, MA, BCBA
• Rachel Kara Jolley Shaw, D.M.D.
• Megan Kathleen Shearer, MS CCC-SLP
• Bruce F. Sheehy
• Eva Sheena, DOCTOR OF PHARMACY

• Obstetrics & Gynecology Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Obstetrics & Gynecology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.