Marci Shaw, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1941 Issued in WV

Practice address

1044 Belmont Ave
Youngstown, OH 44504

Phone

(240) 686-2300

NPI assigned

Oct 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• West Virginia University Hospitals Inc

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1598847634
  Medicare reassignment NPD
• 4M Emergency Systems LLC

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1932152584
  Medicare reassignment
• Mahoning Valley Emergency Specialists LLC

  • Emergency Medicine Physician
  • Youngstown, OH
  • NPI 1003869652
  Medicare reassignment
• Mves Austintown LLC

  • Emergency Medicine Physician
  • Austintown, OH
  • NPI 1972555944
  Medicare reassignment
• Mves Boardman LLC

  • Emergency Medicine Physician
  • Youngstown, OH
  • NPI 1205888237
  Medicare reassignment
• West Virginia University Hospitals, Inc

  • Emergency Medicine Physician
  • Morgantown, WV
  • NPI 1740763952
  NPD (past)

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1811368558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 N NICKELPLATE ST",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446412446",
            "telephone_number": "240-686-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "240-686-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARCI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita Sharper
• Michael B Shaver
• Tamie Shaver
• Christopher S Shaw, MD
• Katherine Ann Shaw, CT
• Olivia Caroline Shaw
• Steven L. Sheakoski, M.D.
• Carly Sheesley
• Walter George Shelar
• Tammy Shells

• Physician Assistant in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.