Individual
GREGORY EDWARD SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MALLARD CREEK RD STE 395, LOUISVILLE, KY 40207-5167
(502) 895-9421
(502) 899-5762
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
50503
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011149
—
IN
05
—
7100488410
—
KY
01
—
K246121
MEDICARE
KY
Enumeration date
03/27/2014
Last updated
09/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us