Kyle Shaw, | |
8011 W Chester Pike, Upper Darby, PA 19082-1317 | |
(610) 449-2345 | |
(610) 449-2577 |
Full Name | Kyle Shaw |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 Years |
Location | 8011 W Chester Pike, Upper Darby, Pennsylvania |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710410899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 25MD00355700 (New Jersey) | Secondary |
213E00000X | Podiatrist | SC007080 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
Inspira Medical Center Elmer | Elmer, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr. Christopher M Larosa Llc | 4486663713 | 2 |
Mullica Hill Podiatry Associates Pa | 8921288945 | 3 |
Highland Park Podiatry,pc | 4688646243 | 3 |
Melrose Podiatry Associates Inc | 4688654429 | 2 |
Provider Name | Dr. Christopher M Larosa Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235253600 PECOS PAC ID: 4486663713 Enrollment ID: O20060414000105 |
Provider Name | Inspira Health Network Medical Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922177856 PECOS PAC ID: 4880797570 Enrollment ID: O20070319000280 |
Provider Name | Mullica Hill Podiatry Associates Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124328869 PECOS PAC ID: 8921288945 Enrollment ID: O20110209000055 |
Mailing Address | Practice Location Address |
---|---|
Kyle Shaw, 175 W Cohawkin Rd, Ste C, Clarksboro, NJ 08020-1145 Ph: (856) 423-7700 | Kyle Shaw, 8011 W Chester Pike, Upper Darby, PA 19082-1317 Ph: (610) 449-2345 |
Dr. Ronald Lee Smith, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7125 Hilltop Rd, Upper Darby, PA 19082 Phone: 610-352-3373 Fax: 610-352-3488 | |
Highland Park Podiatry,pc Podiatrist Medicare: Medicare Enrolled Practice Location: 8011 W Chester Pike, Upper Darby, PA 19082 Phone: 610-449-2345 Fax: 610-449-2577 |