Russel K Shaw, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

RUSSEL K SHAW, MD

Practice address

247 San Marcos Ave
Sanford, FL 32771-1432

Phone

(407) 321-0060

Fax

(407) 323-2720

NPI assigned

Feb 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Russel K Shaw

Title

Owner/Physician

Phone

(407) 321-0060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1023409729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SAN MARCOS AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711432",
            "telephone_number": "407-321-0060",
            "fax_number": "407-323-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SAN MARCOS AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327711432",
            "telephone_number": "407-321-0060",
            "fax_number": "407-323-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL K SHAW, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-321-0060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Sanford, FL
• Providers in Sanford, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.