Active NPI
Daniel B Shaw, CSA
- Surgical Assistant
- Parma, OH
National Provider Identifier
1356587455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 2611 Klusner Ave
Parma, OH 44134-5013 - Phone
- (440) 590-2156
- NPI assigned
- Dec 20, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
2611 Klusner Ave
Parma, OH 44134-5013
Mailing address
2611 Klusner Ave
Parma, OH 44134-5013
Phone (440) 590-2156
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
Interoperability endpoints
- dshaw25906@ehrdirect.uhhospitals.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229731200000",
"number": "1356587455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 KLUSNER AVE",
"city": "PARMA",
"state": "OH",
"postal_code": "441345013",
"telephone_number": "440-590-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 KLUSNER AVE",
"city": "PARMA",
"state": "OH",
"postal_code": "441345013",
"telephone_number": "440-590-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "DANIEL",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-20",
"last_updated": "2008-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.