DAVID LEE SHAW (NPI# 1073506432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073506432 |
| Entity Type | Individual |
| Full Name | DAVID LEE SHAW |
| Credential | MD |
| Practice Address |
907 Mar Walt Drive Suite 2021 Fort Walton Beach FL 32547-6960 |
| Practice Telephone | 8508630006 |
| Practice Fax Number | 8508630012 |
| Mailing Telephone | 8508630006 |
| Mailing Fax Number | 8508630012 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2011-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME23236 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS FL | 17403 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 17403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164686135 | David J Shaw | Psychologist | 3817 Cloverhill Ct, Brandon, FL 33511-7937 | 2008-07-17 |
| 1942406012 | David Clayton Shaw | Occupational Therapy Assistant | 1145 Park St, Baytown, TX 77520 | 2007-06-25 |
| 1548307275 | David Douglas Shaw | Orthotist | 312 Commerce St, Unit 10, Williston, VT 05495-7832 | 2007-01-31 |
| 1134266950 | David Jonathan Shaw | Counselor | 519 Quigley Ave, Willow Grove, PA 19090-3609 | 2007-01-31 |
| 1003971904 | David Preston Shaw | Psychiatry & Neurology | 470 Front St N, Issaquah, WA 98027-2914 | 2006-12-22 |
| 1609937838 | David W Shaw | Chiropractor | 1006 Virginia Ave, Fort Pierce, FL 34982-3522 | 2006-12-12 |
| 1760542922 | David Allen Shaw | Psychologist | 516 S.e. Morrison St, Suite 530, Portland, OR 97214-2346 | 2006-12-11 |
| 1760490619 | David G Shaw | Chiropractor | 18652 Florida St, Ste 245, Huntington Beach, CA 92648-1924 | 2006-08-04 |
| 1497741284 | David Shaw | Psychologist | 18384 Lost Lake Way, Jupiter, FL 33458-3805 | 2005-09-27 |
| 1376542241 | David Brian Shaw | Psychologist | 538 Wythe Creek Rd, Suite H, Poquoson, VA 23662-1569 | 2005-07-21 |
| Street Address |
907 MAR WALT DRIVE SUITE 2021 |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-6960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063498723 | Gregory James Piacente | Psychiatry & Neurology | 1106 Hospital Road, Neurology Department, Fort Walton Beach, FL 32547 | 2005-12-15 |
| 1952307878 | Fred E Aubert Jr. | Psychiatry & Neurology | 1106 Hospital Rd, Neuroscience Center, Fort Walton Beach, FL 32547-6742 | 2005-06-24 |
| 1720358393 | Specialty Hospitalists At Ft Walton Beach LLC | Psychiatry & Neurology | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 2012-01-12 |
| 1750692422 | Nina Grace Bradley | Psychiatry & Neurology | 1106 Hospital Road, Neuroscience Center, Fort Walton Beach, FL 32547-6796 | 2010-06-28 |
| 1144462110 | Michael L Shawbitz M D P A | Psychiatry & Neurology | 1034 Mar Walt Dr, Suite 100, Fort Walton Beach, FL 32547-6639 | 2009-04-06 |
| 1346444742 | Raymond Lee Capps | Psychiatry & Neurology | 1106 Hospital Road, Neuroscience Center, Fort Walton Beach, FL 32547-6742 | 2007-06-12 |
| 1417932229 | Judy Louise White | Psychiatry & Neurology | 1106 Hospital Rd, Neurology Department, Fort Walton Beach, FL 32547-6742 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043820087 | Lewis Leckey Hamilton | Psychiatry & Neurology | 471 Palm Ave, Boca Grande, FL 33921-1157 | 2020-08-04 |
| 1588282776 | Magic Medical Specialties Corp | Psychiatry & Neurology | 9421 S Orange Blossom Trl # 19, Orlando, FL 32837-8320 | 2020-07-14 |
| 1235757899 | Miami Headache Center, Pllc | Psychiatry & Neurology | 5415 Collins Ave Apt Phe, Miami Beach, FL 33140-2575 | 2020-07-10 |
| 1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
| 1104458462 | Neuro Synchrony LLC | Psychiatry & Neurology | 1745 E Hwy 50 Ste B1, Clermont, FL 34711-5190 | 2020-02-05 |
| 1568008373 | Tallahassee Memorial Healthcare Inc | Psychiatry & Neurology | 7514 Park Springs Cir, Orlando, FL 32835-2619 | 2019-11-27 |
| 1104387935 | Remyelix Neurology & Multiple Sclerosis Institute, Pllc | Psychiatry & Neurology | 4907 N Florida Ave, Tampa, FL 33603-2119 | 2019-03-26 |
| 1811461353 | Ricardo Villalobos Pa | Psychiatry & Neurology | 16606 Broadwater Ave, Winter Garden, FL 34787 | 2019-01-17 |
| 1164995528 | Rayyan Neurological Association LLC | Psychiatry & Neurology | 10022 Crystalline Ct, Orlando, FL 32836-6024 | 2019-01-09 |
| 1326511007 | Parkinsons & Memory Center Pa | Psychiatry & Neurology | 919 N Osprey Ave # B, Sarasota, FL 34236-4143 | 2019-01-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.