DR. DAVID JON SHAW (NPI# 1659375202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659375202 |
| Entity Type | Individual |
| Full Name | DR. DAVID JON SHAW |
| Credential | MD |
| Practice Address |
12554 Riata Vista Cir Austin TX 78727-6431 |
| Practice Telephone | 5127955100 |
| Practice Fax Number | 5127955122 |
| Mailing Telephone | 5127955100 |
| Mailing Fax Number | 5127955122 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2015-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
L9478 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 167954002 | 05 |
| 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 |
| 1073506432 | David Lee Shaw | Psychiatry & Neurology | 907 Mar Walt Drive, Suite 2021, Fort Walton Beach, FL 32547-6960 | 2005-08-31 |
| Street Address |
12554 RIATA VISTA CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233519 | Gregory C Karnaze | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-05-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1902240914 | Kellan Michael Schallert | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-21 |
| 1497098925 | Richard William Ahn | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2013-04-03 |
| 1578822979 | Ryan M. Durel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-05-07 |
| 1790059921 | Daniel G Bloom | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-03-06 |
| 1841587474 | Nimisha Doshi Khanna | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-07-04 |
| 1295021616 | Stanislav I. Spiridonov | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-06-23 |
| 1760775134 | Aditi A Desai | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-05-18 |
| 1134412653 | Arthy Saravanan | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2011-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619300431 | Rapid Radiology, Inc. | Radiology | 6548 Comanche Trl Ste 501, Austin, TX 78732 | 2013-08-15 |
| 1609115138 | Ctoa-central Texas Women's Imaging Center, Pllc | Radiology | 2220 Park Bend Dr, Building 2, Suite 301, Austin, TX 78758-5387 | 2013-02-04 |
| 1184982167 | Anthony Karl Hasselbach | Radiology | 12554 Riata Vista, Austin, TX 78727-6431 | 2012-04-27 |
| 1952603334 | Roy Keith Poth | Radiology | 15400 Fox Run Dr, Austin, TX 78737-8611 | 2010-11-17 |
| 1437391711 | Brett Douglas Macadam | Radiology | 3112 Windsor Rd #517, Radiology Specialists of Central Texas, Austin, TX 78703 | 2009-04-01 |
| 1720245319 | Michael Mario Di Iorio | Radiology | 5301a Davis Ln Ste 210, Austin, TX 78749-3961 | 2008-05-21 |
| 1497946677 | Kristin Leigh Casey | Radiology | 12801 Hacienda Rdg, Austin, TX 78738-7652 | 2007-08-05 |
| 1407970841 | Us Radiology Partners of Texas Inc | Radiology | 3704 Lagood St, Austin, TX 78730 | 2007-03-19 |
| 1063568335 | John E. Crouch | Radiology | 8801 Bellancia Dr, Austin, TX 78738-7626 | 2007-01-26 |
| 1962410308 | Balcones Imaging Consultants Pa | Radiology | 1205 Tamranae Ct., Austin, TX 78746-0032 | 2006-08-03 |
| Find all providers in AUSTIN | ||||
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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.