Keith Alan Shaw, MD | |
1515 Delhi St, Ste 200, Dubuque, IA 52001-6314 | |
(563) 557-7000 | |
(563) 589-4050 |
Full Name | Keith Alan Shaw |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1515 Delhi St, Dubuque, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346220282 | NPI | - | NPPES |
30508300 | Medicaid | WI | |
0184580 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 22393 (Iowa) | Primary |
Entity Name | Jackson County Public Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689705949 PECOS PAC ID: 1254248958 Enrollment ID: O20040120000117 |
Entity Name | Jackson County Public Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1912960758 PECOS PAC ID: 1254248958 Enrollment ID: O20061104000661 |
Entity Name | Jackson County Public Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1326002643 PECOS PAC ID: 1254248958 Enrollment ID: O20070103000149 |
Mailing Address | Practice Location Address |
---|---|
Keith Alan Shaw, MD 1515 Delhi St, Ste 200, Dubuque, IA 52001-6314 Ph: (563) 557-7000 | Keith Alan Shaw, MD 1515 Delhi St, Ste 200, Dubuque, IA 52001-6314 Ph: (563) 557-7000 |
Joseph Bernard Fuller, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3450 Fax: 563-584-3171 | |
Dr. Phillip Gabriel Bailey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St Ste 200, Dubuque, IA 52001 Phone: 563-557-7000 | |
Christopher Omerza, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3450 Fax: 563-584-3171 | |
Jacob Levi Wagner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Delhi St, Suite 200, Dubuque, IA 52001 Phone: 563-557-7000 Fax: 563-589-4050 | |
Dr. Garrett William Fleming, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3450 Fax: 563-584-3171 | |
Roger Arthur Ott Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Langworthy St, Dubuque, IA 52001 Phone: 563-584-3450 Fax: 563-584-3171 |