John a Shaw MD PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

AZ 14068 Issued in AZ

Legal business name

JOHN A SHAW MD PC

Practice address

2224 W Northern Ave
Suite D-300
Phoenix, AZ 85021-4928

Phone

(602) 510-8100

Fax

(480) 391-1458

NPI assigned

Dec 7, 2006

Last updated

Feb 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A Shaw II, M.D.

Title

President

Phone

(602) 510-8100

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John A. Ebner, D.O.

  • MOHS-Micrographic Surgery Physician
  • Phoenix, AZ
  • NPI 1295927788
  NPD (past)
• Marlene Wright, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1215977467
  NPD (past)
• Debra L Bergstrom, NP

  • Family Nurse Practitioner
  • Alamogordo, NM
  • NPI 1780670398
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1679632459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10386 N 96TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584775",
            "telephone_number": "602-510-8100",
            "fax_number": "480-391-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 W NORTHERN AVE",
            "address_2": "SUITE D-300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214928",
            "telephone_number": "602-510-8100",
            "fax_number": "480-391-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A SHAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-510-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "AZ 14068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas S Johannsen
• Cassandra Johanson
• Claudia Johansson
• Sheila Ann Johansson
• John a Liebert, MD PC
• John a Soscia MD PC
• John C Lincoln , LLC
• John C Lincoln Hospital Inc (John C Lincoln Family Medicine)
• John C Lincoln LLC (Pinnacle Radiology)
• John C Lincoln LLC (North Mountain Radiology Group - BCC)

• Radiation Oncology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Radiation Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.