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REBECCA D SHAW CFA
NPI 1275772667
Surgery - Plastic and Reconstructive Surgery in Meridian, ID

Active since February 09, 2009
3630 E LOUISE DR, MERIDIAN, ID 83642(208) 377-9515 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rebecca D Shaw Cfa NPPES

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

REBECCA D SHAW CFA (NPI 1275772667) is an individual plastic and reconstructive surgery provider in Meridian, Idaho, licensed in Idaho (M-8189) and active in the NPI registry since February 2009.

NPPES Registry Identity

NPI1275772667
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameREBECCA D SHAWCredential: CFA
Location Address3630 E LOUISE DRMeridian, ID 83642-7975
Mailing Address3630 E Louise DrMeridian, ID 83642-7975 · (208) 377-9515
Phone(208) 377-9515
Sole ProprietorYes
Enumeration DateFebruary 9, 2009
✔ NPI 1275772667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in ID · M-8189
Definition

A surgeon who specializes in plastic and reconstructive surgery.

3630 E LOUISE DR, Meridian, ID 83642
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Other Identifiers 3

Medicare OSCAR/certification1100368
Medicare UPINH44448ID
Medicare PIN1100368ID

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D. WIGOD, MD, PA
Surgery (Plastic and Reconstructive Surgery)
3630 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 377-9515
JACQUELINE KING
Clinic/Center (Ambulatory Surgical)
3630 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 377-9515
CHAMAGNE JANAE EATON CST
3630 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 377-9515
EP SERVICES LLC
Nurse Anesthetist, Certified Registered
3630 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 377-9515
MEADOW LAKE SURGERY CENTER INC
Clinic/Center (Ambulatory Surgical)
3630 E LOUISE DR, SUITE 200
MERIDIAN, ID 83642
Ada County (208) 377-9515
JT ANESTHESIA SERVICES PLLP
Nurse Anesthetist, Certified Registered
3630 E LOUISE DR
MERIDIAN, ID 83642
Ada County (208) 377-9515

Frequently Asked Questions

What is Rebecca Shaw's NPI number?

The NPI number assigned to this healthcare provider is 1275772667, enumerated as an "individual" on February 09, 2009.

Where is the provider located?

The provider is located at 3630 E LOUISE DR MERIDIAN, ID 83642 and the phone number is (208) 377-9515.

What is the provider's specialty?

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

What insurance does Rebecca Shaw accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.