Individual provider Active NPI

Erin Shaw, M.D.

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1053772095
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 127226 Issued in FL
Practice address
1050 SE Monterey Rd
201
Stuart, FL 34994-4512
Phone
(772) 678-7043
NPI assigned
Mar 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 127226 FL Primary

Addresses

Primary practice location

1050 SE Monterey Rd
201
Stuart, FL 34994-4512

Mailing address

1050 SE Monterey Rd
Ste 201
Stuart, FL 34994-4512
Phone (772) 210-5450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601001277 FL Practitioner - Family Practice 3072803139 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pga Chiropractic Health Center PAGroup PAC ID 2466620067, 2 clinicians
Dr. George Blackwell Inc.Group PAC ID 2769805225, 5 clinicians

Practice addresses (Care Compare)

10800 N Military TRL
Suite 111
Palm Beach Gardens, FL 33410-6527
Phone (561) 775-9111

1967 SE Port St Lucie Blvd
PSL Health Center
Port St Lucie, FL 34952-5536
Phone (772) 335-3110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 127226FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pga Chiropractic Health Center PA CurrentSince Jun 1, 2021 Accepting new patients
Express Docs, LLC CurrentSince Dec 24, 2023 Accepting new patients
Michele F Libman MD PA CurrentSince Jan 22, 2018 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 4, 2019 Accepting new patients
Dr. George Blackwell Inc. CurrentSince Jan 1, 2024 Accepting new patients
Express Docs, LLC CurrentSince Dec 24, 2023 Accepting new patients
MD Now Medical Centers Inc CurrentSince Feb 4, 2019 Accepting new patients
Expressdocs2Llc PastSince Feb 11, 2024 Accepting new patients

Locations

14530 S Military Trl
Delray Beach, FL 33484
Phone (561) 381-0260

14530 S Military Trl
Ste A1
Delray Beach, FL 33484
Phone (561) 381-0260

1697 W Indiantown Rd
Jupiter, FL 33458
Phone (561) 300-4123

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

10800 N Military Trl
Ste 111
Palm Beach Gardens, FL 33410
Phone (561) 775-9111

1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3110

1050 SE Monterey Rd
Ste 101
Stuart, FL 34994
Phone (772) 419-0560

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1053772095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "STE 201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-210-5450",
            "fax_number": "772-403-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SE MONTEREY RD",
            "address_2": "201",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944512",
            "telephone_number": "772-678-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 127226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.