TRAVIS LARON SHAW (NPI# 1629279047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629279047 |
| Entity Type | Individual |
| Full Name | TRAVIS LARON SHAW |
| Credential | MD |
| Practice Address |
8730 Stony Point Pkwy Suite 120 Richmond VA 23235-1970 |
| Practice Telephone | 8047754559 |
| Practice Fax Number | 8042005649 |
| Mailing Telephone | 8047754559 |
| Mailing Fax Number | 8042005649 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
0101245920 | VA | Allopathic & Osteopathic Physicians |
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
0101245920 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
8730 STONY POINT PKWY SUITE 120 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23235-1970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043667728 | Sean Steven Honea | Acupuncturist | 8730 Stony Point Pkwy, Suite 270, Richmond, VA 23235-1970 | 2016-05-23 |
| 1487001806 | Southside Community Acupuncture, LLC | Acupuncturist | 8730 Stony Point Pkwy, Suite 270, Richmond, VA 23235-1970 | 2016-05-16 |
| 1356704258 | Virginia Sleep & Tmj Therapy, Pllc | Durable Medical Equipment & Medical Supplies | 8730 Stony Point Pkwy, Suite 240, Richmond, VA 23235-1970 | 2016-03-30 |
| 1073904835 | Travis Shaw Md PC | Surgery | 8730 Stony Point Pkwy, Suite 120, Richmond, VA 23235-1970 | 2015-02-13 |
| 1003072406 | Paul Douglas Dukarm | Clinical Neuropsychologist | 8730 Stony Point Pkwy, Richmond, VA 23235 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861422438 | Michael Scott Godin | Plastic Surgery | 410 Libbie Ave, Richmond, VA 23226-2616 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780873497 | Metropolitan Plastic Surgery PC Saeed Marefat, M.d. | Plastic Surgery | 14908 Jefferson Davis Hwy, Woodbridge, VA 22191-4016 | 2007-10-18 |
| 1801936901 | Shervin Naderi | Plastic Surgery | 297 Herndon Pkwy, Suite 101, Herndon, VA 20170-4474 | 2007-02-07 |
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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.