Kristian Taylor Shaw, PA-C
Kristian Taylor Shaw, PA-C is a Physician Assistant in Lakewood, Ohio. Qualified in 2022, 4 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 4
- In the registry since
- 2019
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
14601 Detroit AveLakewood, OH 44107-4205
Phone: (216) 237-5500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 828 Waterford Cut, Crystal Lake, IL 60014-8506 — (847) 306-9843
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1477112381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | June 13, 2019 |
| Last updated in NPPES | May 10, 2023 |
| Certification date | June 7, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Cleveland Clinic — 6935 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |
Other providers in Lakewood
-
Eziamaka Enwonwu
1471 Wagar Ave, Lakewood, OH 44107-3638 · (216) 820-0752