Eric Gorgon Shaw, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

224829 Issued in NY

Practice address

4900 Broad Rd
Syracuse, NY 13215-2265

Phone

(315) 492-5535

Fax

(315) 492-8690

NPI assigned

Mar 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

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

Emergency Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Chenango Memorial Hospital Hospital, Norwich, NY, CCN 330033
• Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Medicare reassignment Care Compare group NPD
• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment NPD
• Emergency Medicine Physicians of Cortland County, PLLC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1609816024
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Geneva General Hospital, Inc

  • Emergency Medicine Physician
  • Geneva, NY
  • NPI 1487797080
  Medicare reassignment NPD
• Physicians Medical Associates New York PC

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1073386421
  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  Medicare reassignment NPD
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Medicare reassignment NPD
• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747

  Emergency Medicine

  Medicare reassignment NPD
• Upstate Emergency Medicine, Inc

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1275589582
  Medicare reassignment NPD
• Chenango Memorial Hospital Inc

  • Durable Medical Equipment & Medical Supplies
  • Norwich, NY
  • NPI 1437818622

  Emergency Medicine

  NPD
• Chenango Memorial Hospital, Inc

  • Skilled Nursing Facility
  • Norwich, NY
  • NPI 1063425643
  NPD

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

• Chenango Memorial Hospital Inc

  • General Acute Care Hospital
  • Norwich, NY
  • NPI 1770593956
  Care Compare affiliation
• Chenango Memorial Hospital, Inc.

  • Family Medicine Physician
  • Norwich, NY
  • NPI 1467526889

  Hospital

  Care Compare affiliation
• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  Care Compare affiliation

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1821058207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20830 CAGWIN RD",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136015364",
            "telephone_number": "315-583-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152265",
            "telephone_number": "315-492-5535",
            "fax_number": "315-492-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ERIC",
        "middle_name": "GORGON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "224829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00869153",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02650246",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Shaughnessy
• Al-Aman Shaukat, MD
• Mishal Shaukat, MD
• Coleen Teri Shaver
• Andrea Vittoria Shaw, MD
• James Albert Shaw, M.D.
• Maizie Marie Shaw
• Mary Shaw, RN
• Melinda M Shaw, PA
• Michael Jonathan Shaw, MD

• Emergency Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.