KATHY N SHAW M.D. NPI 1306852645

NPI Information

  • NPI: 1306852645
  • Provider Name: KATHY N SHAW, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3401 CIVIC CENTER BLVD
    CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
    PHILADELPHIA, PA
    ZIP 19104
  • Phone: (215) 590-1944

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NPI Details

Kathy N Shaw, M.D. is a pediatric emergency medicine pediatrics in Philadelphia, PA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Kathy N Shaw, M.D. NPI is 1306852645. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3401 CIVIC CENTER BLVD
CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA
ZIP 19104-319
Phone: (215) 590-1944
Fax: (215) 590-4454

The NPI 1306852645 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsMD030988EPENNSYLVANIANo
22080P0204XPediatricsPediatric Emergency MedicineMD030988EPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C32811MEDICARE UPIN
2174783MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
3001091402MEDICAIDPENNSYLVANIA
42276801MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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