| Jordan T Shaw, MD | |
|
1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | |
| (616) 459-7101 | |
| Not Available |
| Full Name | Jordan T Shaw |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 10 Years |
| Location | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| 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 |
|---|---|---|---|
| 1710373139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301501177 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mission Health Community Multispecialty Providers Llc | 9537468574 | 578 |
| Entity Name | Mission Health Community Multispecialty Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457719130 PECOS PAC ID: 9537468574 Enrollment ID: O20160426001883 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan T Shaw, MD 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 Ph: (616) 459-7101 | Jordan T Shaw, MD 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 Ph: (616) 459-7101 |
Dr. Charles D Bukrey, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1111 Leffingwell Ave Ne, Suite 100, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
John Mahajan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 | |
Kurt Thomas Geffken, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Walter M Braunohler, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4100 Lake Dr Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-267-8860 Fax: 616-267-8442 | |
Scott David Burgess, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 Fax: 616-464-6170 | |
Viet Huu Do, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Leffingwell Ne, Suite 200, Grand Rapids, MI 49525 Phone: 616-459-7101 | |
Daniel Edward Hess, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2770 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-267-8860 |