Dr Lian R Shaw, MD | |
1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 | |
(503) 216-2188 | |
Not Available |
Full Name | Dr Lian R Shaw |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 27 Years |
Location | 1003 Providence Dr, Newberg, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154379576 | NPI | - | NPPES |
8390684 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | MD159774 (Oregon) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | MD0043124 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Newberg Medical Center | Newberg, OR | Hospital |
Providence St Vincent Medical Center | Portland, OR | Hospital |
Willamette Valley Medical Center | Mcminnville, OR | Hospital |
Providence Portland Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Providence Health And Services Oregon | 0648183608 | 1344 |
Providence Health And Services Oregon | 1557260106 | 85 |
Providence Health And Services Oregon | 3072415652 | 47 |
Providence Health And Services Oregon | 5395656284 | 115 |
Providence Health And Services Oregon | 9335057447 | 137 |
Entity Name | Providence Health & Services Oregon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104097906 PECOS PAC ID: 0648183608 Enrollment ID: O20080630000201 |
Mailing Address | Practice Location Address |
---|---|
Dr Lian R Shaw, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dr Lian R Shaw, MD 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 Ph: (503) 216-2188 |
James Lewis Miller, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-5607 | |
Lohith Veerappa Reddy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-5607 | |
Elizabeth S Severson, DO Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1000 N Providence Dr Ste 120, Newberg, OR 97132 Phone: 503-537-5900 | |
Sean M Stadtlander, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1003 Providence Dr, Suite 210, Newberg, OR 97132 Phone: 503-537-5900 Fax: 503-537-5959 | |
Kristina Brittany Moon, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr Ste 325, Newberg, OR 97132 Phone: 503-537-6026 Fax: 503-537-6027 | |
Theodore Allen Foster Iii, D.O., M.P.H Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1003 Providence Dr Ste 325, Newberg, OR 97132 Phone: 503-537-6026 |