NPIMap

Individual provider Active NPI

Marianne L Shaw, M.D.

  • Rheumatology Physician
  • Tyrone, PA
National Provider Identifier
1790785582
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD4238723 Issued in PA
Practice address
154 Hospital Dr
Tyrone, PA 16686
Phone
(814) 684-6341
Fax
(814) 684-6343
NPI assigned
Jul 22, 2005
Last updated
Aug 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD4238723 PA Primary

Addresses

Primary practice location

154 Hospital Dr
Tyrone, PA 16686

Mailing address

154 Hospital Dr
Tyrone, PA 16686
Phone (814) 684-6341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040901000762 PA Practitioner - Rheumatology 9931174976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Temple University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J C Blair Memorial HospitalGroup PAC ID 2668378407, 98 clinicians

Practice addresses (Care Compare)

1225 Warm Springs Ave
Huntingdon, PA 16652-2350
Phone (814) 643-2290

417 Sabbath Rest Rd
Altoona, PA 16601-7567

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD4238723PAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC Rheumatology CurrentSince Jan 23, 2017 Accepting new patients
J C Blair Memorial Hospital Current Accepting new patients
J C Blair Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
J C Blair Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Conemaugh Health Initiatives PastSince Jan 23, 2017 Accepting new patients
JC Blair Memorial Hospital Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Altoona Speciality Center LLC Past Accepting new patients

Locations

417 Sabbath Rest Rd
Ste 4
Altoona, PA 16601
Phone (814) 375-6467

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

621 S Main St
Dubois, PA 15801
Phone (814) 299-7520

1792 Plank Rd
Duncansville, PA 16635
Phone (814) 317-5188

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

154 Hospital Dr
Ste 3
Tyrone, PA 16686
Phone (814) 643-8485

Interoperability endpoints

  • Direct secure messaging: mlshaw2@1285.direct.myezyaccess.com
  • Direct secure messaging: mshaw@tyronespecialties.medentdirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 46

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1790785582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "16686",
            "telephone_number": "814-684-6341",
            "fax_number": "814-684-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HOSPITAL DR",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "16686",
            "telephone_number": "814-684-6341",
            "fax_number": "814-684-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARIANNE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "PA",
            "license": "MD4238723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, PA

Sources for this page

Verify at the official NPI Registry.