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KATHY N SHAW M.D.
NPI 1306852645
Pediatrics - Pediatric Emergency Medicine in Philadelphia, PA

Active since July 31, 2006PECOS Enrolled
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED, PHILADELPHIA, PA 19104(215) 590-1944(215) 590-4454 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathy N Shaw M.d. NPPES

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

KATHY N SHAW M.D. (NPI 1306852645) is an individual pediatric emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD030988E) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306852645
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameKATHY N SHAWCredential: M.D.
Location Address3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MEDPhiladelphia, PA 19104-4319
Mailing Address100 E Penn Sq, 9th FloorPhiladelphia, PA 19107-3323 · (267) 425-9258 · Fax (267) 425-9299
Phone(215) 590-1944
Fax(215) 590-4454
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1306852645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in PA · MD030988E
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License MD030988E (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC32811
Medicare ID-Type Unspecified174783PA
Medicaid001091402PA
Medicaid2276801NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathy N Shaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kathy Shaw's NPI number?

The NPI number for Kathy Shaw is 1306852645. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Kathy Shaw located?

Kathy Shaw practices at 3401 Civic Center Blvd Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104. The listed phone number is (215) 590-1944.

What is Kathy Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Kathy Shaw enrolled in Medicare?

Yes. Kathy Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathy Shaw was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.