David Lee Shaw, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME23236 Issued in FL

Practice address

907 Mar Walt Drive
Suite 2021
Fort Walton Beach, FL 32547-6960

Phone

(850) 863-0006

Fax

(850) 863-0012

NPI assigned

Aug 31, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• In Your Dreams International Inc

  dba Emerald Coast Sleep Disorders Center

  • Sleep Disorder Diagnostic Clinic/Center
  • Niceville, FL
  • NPI 1477587145
  NPD (past)
• Sleepfirst LLC

  dba Tallahassee Sleep Diagnostic Center

  • Pulmonary Disease Physician
  • Tallahassee, FL
  • NPI 1326066226
  NPD (past)
• Tallahassee Sleep Diagnostics, Inc

  • Clinical Medical Laboratory
  • Tallahassee, FL
  • NPI 1780128769
  NPD (past)
• West Florida Medical Center Clinic PA

  dba Medical Center Clinic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1073506432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DRIVE",
            "address_2": "SUITE 2021",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-863-0006",
            "fax_number": "850-863-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 MAR WALT DRIVE",
            "address_2": "SUITE 2021",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476960",
            "telephone_number": "850-863-0006",
            "fax_number": "850-863-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME23236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "17403",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17403",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serenity Path Counseling, LLC
• Tessa Markum Sexton, ARNP
• Shades of Color Counseling Services LLC
• Shivani Sharma, MD
• Sharper TMS LLC
• Michael L Shawbitz, M.D.
• Ashleigh Sheffield, CCC SLP
• Richard A Sheldon, DC
• Taylor Shelf, MD
• Heather Lutz Shelton, ARNP

• Neurology Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.