Angelica Patricia Shaw, MD | |
7001 Forest Ave Ste 405, Richmond, VA 23230-1726 | |
(804) 285-6811 | |
(804) 281-7264 |
Full Name | Angelica Patricia Shaw |
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Gender | Female |
Speciality | Pediatrics |
Location | 7001 Forest Ave Ste 405, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942798962 | NPI | - | NPPES |
93232888 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MD2021-0878 (New Mexico) | Secondary |
208000000X | Pediatrics | 681703 (Texas) | Secondary |
208000000X | Pediatrics | 0101281387 (Virginia) | Primary |
Entity Name | La Clinica De Familia, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528424397 PECOS PAC ID: 6305745191 Enrollment ID: O20031231000076 |
Mailing Address | Practice Location Address |
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Angelica Patricia Shaw, MD Po Box 639970, Cincinnati, OH 45263-9970 Ph: () - | Angelica Patricia Shaw, MD 7001 Forest Ave Ste 405, Richmond, VA 23230-1726 Ph: (804) 285-6811 |
Marieka Ann Helou, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 11th St, Nelson Clinic, 2nd Floor, Room 210, Richmond, VA 23298 Phone: 804-828-9300 | |
Rhoda B Mahoney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Dr. Tracy Stroma Mcneish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233 Phone: 804-747-1855 Fax: 804-762-8837 | |
Dr. Burak Gumuscu, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5855 Bremo Road, Mob North,, Suite 703, Richmond, VA 23226 Phone: 804-281-8182 | |
Kathryn B Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Jan N. Dalby, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Randall Wayne Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7101 Jahnke Rd, 2nd Floor, Richmond, VA 23225 Phone: 804-323-8893 |