| 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 | 28 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 |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Services Oregon | 0648183608 | 1338 |
| Providence Health And Services - Oregon | 3072415652 | 53 |
| Providence Health And Services - Oregon | 5294901922 | 44 |
| Providence Health And Services - Oregon | 5395656284 | 141 |
| Providence Health And Services Oregon | 6103728753 | 39 |
| Providence Health And Services - Oregon | 9335057447 | 160 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093976243 PECOS PAC ID: 3476450560 Enrollment ID: O20031217000186 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366536963 PECOS PAC ID: 6103728753 Enrollment ID: O20040123000371 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568547503 PECOS PAC ID: 5294623245 Enrollment ID: O20040310000315 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912282369 PECOS PAC ID: 5294901922 Enrollment ID: O20120319000430 |
| 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: Accepting Medicare Assignments 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: Accepting Medicare Assignments 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 |