Gerald P Shaw, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

10342 Issued in AZ

Practice address

18301 N 79TH Ave
Ste C126
Glendale, AZ 85308-8463

Phone

(623) 486-3346

Fax

(623) 486-3747

NPI assigned

Nov 28, 2006

Last updated

Feb 16, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234742400000",
    "number": "1881760882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832114",
            "telephone_number": "602-405-5627",
            "fax_number": "623-486-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18301 N 79TH AVE",
            "address_2": "STE C126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088463",
            "telephone_number": "623-486-3346",
            "fax_number": "623-486-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GERALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "10342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0871340",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260282",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Mena Sharobeem, D.O.
• Sharon a Bell PSYD PLLC (Associates in Health Psychology)
• Divya Shastri
• Katie L Shaul, RD
• Anthony James Shaw, AGACNP-BC
• Jennifer Gale Shaw, MD
• Olivia Michelle Shaw, MA, BCBA
• Rachel Kara Jolley Shaw, D.M.D.
• Megan Kathleen Shearer, MS CCC-SLP
• Bruce F. Sheehy

• Psychiatry Physician in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2009; 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.