| 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 | 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 |
|---|---|---|---|
| 1710410899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 25MD00355700 (New Jersey) | Secondary |
| 213E00000X | Podiatrist | SC007080 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bayada At Inspira, Home Health And Hospice | Millville, NJ | Home health agency |
| Inspira Medical Center Elmer | Elmer, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inspira Health Network Medical Group Pc | 4880797570 | 220 |
| 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 |