Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EVERETT LEE SHAW, PA-C
Active Sole ProprietorEVERETT LEE SHAW, PA-C is a Physician Assistant healthcare provider located in DECATUR, Illinois. NPI 1437444163 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DECATUR, IL
Registration Details
- NPI Number
- 1437444163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2011 (15.14609175552 yrs)
- Last Updated
- Jan 17, 2023
- License
-
085.004037 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4775 E MARYLAND STDECATUR, IL, 625218820Browse IL providers · Browse ZIP 62521
- Phone
- 2178643737
- Fax
- 2178643468
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| WAYNE ALLEN MATHEWS | PAC | 1891786943 |
| EMILYE JESSICA GRANT | PHYSICIAN ASSISTANT | 1396721189 |
| MR. BRIAN P JACQUOT | P.A.-C | 1053369546 |
| JAMES V WRIGHT | PA-C | 1497774095 |
| AMANDA C SHILS | P.A. | 1740399880 |
| JENNIFER R SUNDERLAND | PA-C | 1659475655 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.