| Leslie A Shaw, RD, LD, PA-C | |
|
32800 Lorain Rd Ste 2300, North Ridgeville, OH 44039-3430 | |
| (440) 406-5500 | |
| Not Available |
| Full Name | Leslie A Shaw |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 32800 Lorain Rd Ste 2300, North Ridgeville, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275783912 | NPI | - | NPPES |
| 0217187 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005005RX (Ohio) | Primary |
| 133V00000X | Dietitian, Registered | 6251 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uh Cleveland Medical Center | Cleveland, OH | Hospital |
| Uh St John Medical Center | Westlake, OH | Hospital |
| University Hospitals - Elyria Medical Center | Elyria, OH | Hospital |
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Hospitals Medical Group Inc | 4789682493 | 2248 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | University Hospitals St. John Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427353713 PECOS PAC ID: 0840333613 Enrollment ID: O20110315000008 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Shaw, RD, LD, PA-C 850 Columbia Rd Ste 200, Westlake, OH 44145-7215 Ph: (440) 808-1212 | Leslie A Shaw, RD, LD, PA-C 32800 Lorain Rd Ste 2300, North Ridgeville, OH 44039-3430 Ph: (440) 406-5500 |
Vonesa Demiri, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 34160 Center Ridge Rd, North Ridgeville, OH 44039 Phone: 440-363-6788 |
Victoria Knotts, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35221 Chestnut Ridge Rd, North Ridgeville, OH 44039 Phone: 440-787-6674 |
Dr. Douglas Damian Long, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 9358 Kenmore Way, North Ridgeville, OH 44039 Phone: 440-822-4749 |
Nathaniel Zane Lindal, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6484 Majestic Dr, North Ridgeville, OH 44039 Phone: 440-830-1240 |