DR. LISA SHAW MD
NPI 1063859809
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Bethesda, MD

Active since June 03, 2013
4301 JONES BRIDGE RD RM A-1040A, BETHESDA, MD 20814(301) 295-1668 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2024, Aug 10, 2023, Feb 20, 2017 (3 updates tracked since 2017).

About Dr. Lisa Shaw Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA SHAW MD (NPI 1063859809) is an individual preventive medicine/occupational environmental medicine provider in Bethesda, Maryland, licensed in Nebraska (28169) and active in the NPI registry since June 2013.

NPPES Registry Identity

NPI1063859809
Entity TypeIndividualFemale
Primary Taxonomy2083P0500X
Provider Legal NameDR. LISA SHAWCredential: MD
Location Address4301 JONES BRIDGE RD RM A-1040ABethesda, MD 20814-4799
Mailing Address4301 Jones Bridge Rd Rm A-1040aBethesda, MD 20814-4799 · (301) 295-1668
Sole ProprietorYes
Enumeration DateJune 3, 2013
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1063859809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License Licensed in NE · 28169
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 28169 (NE)
4301 JONES BRIDGE RD RM A-1040A, Bethesda, MD 20814

Other Names 1

Other Name (5)Lisa Shaw Md

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Shaw's NPI number?

The NPI number for Lisa Shaw is 1063859809. It was assigned to this individual provider in the NPPES registry on June 3, 2013. The provider is also known as Lisa Shaw MD.

Where is Lisa Shaw located?

Lisa Shaw practices at 4301 Jones Bridge Rd Rm A-1040a, Bethesda, MD 20814. The listed phone number is (301) 295-1668.

What is Lisa Shaw's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

When was this NPI record last updated?

The NPPES record for Lisa Shaw was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.