George L. Shoptaw, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C025174 Issued in CA

Practice address

700 W Parr Ave
Suite B
Los Gatos, CA 95032-1416

Phone

(408) 374-7880

Fax

(408) 374-4097

NPI assigned

Jul 10, 2006

Last updated

Mar 8, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1043243058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W PARR AVE",
            "address_2": "SUITE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321442",
            "telephone_number": "408-374-7880",
            "fax_number": "408-374-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PARR AVE",
            "address_2": "SUITE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321416",
            "telephone_number": "408-374-7880",
            "fax_number": "408-374-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOPTAW",
        "first_name": "GEORGE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C025174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Frances Sheppard
• Gace Shih, RD, MS
• Shelly Shmariahu
• Jane Sholem, PHD
• Jenna Benson Sholl, LMFT
• Danielle Joy Shotwell, DPT
• Ayushi Shrestha
• Carolynn Vuong Shultz, DMD
• Hogan H. Shy, MD
• Siavash Dehghani D.M.D. Dental Corp.

• Otolaryngology Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.