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Everett Lee Shaw, PA-C
Physician Assistant in Decatur, Illinois
NPI 1437444163

Everett Lee Shaw is a Physician Assistant based in Anna, IL. Everett Lee Shaw practices in Decatur, IL and has the professional credentials of PA-C. The NPI Number for Everett Lee Shaw is 1437444163 and holds a License No. 085.004037 (Illinois).

The current practice location address for Everett Lee Shaw is 4775 E Maryland St, Decatur, IL and can be reached out via phone at 217-864-3737 and via fax at 217-864-3468.

Location: 4775 E Maryland St, Decatur, IL, 62906-1668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437444163
Provider Name
Everett Lee Shaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4775 E Maryland St, Decatur, IL, 62906-1668
Phone Number
217-864-3737
Fax Number
217-864-3468
Provider Enumeration Date
06/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
205790002 01 IL MEDICARE PTAN
1051123 01 NCCAP NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS
institution
Provider Business Practice Location Address Details
Address
4775 E Maryland St
City
Decatur
State
Illinois
Zip
62521-8820
Phone Number
217-864-3737
Fax Number
217-864-3468
person
Provider Business Mailing Address Details
Address
4775 E Maryland St
City
Decatur
State
Illinois
Zip
62521-8820
Phone Number
217-864-3737
Fax Number
217-864-3468
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.004037 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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