Shaw Pain Clinic PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SHAW PAIN CLINIC PLLC

Practice address

503 FM 1431 East, Suite 201
Marble Falls, TX 78654-5252

Phone

(830) 220-5007

Fax

(830) 220-5009

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jerod K Shaw, MDNPI 1407030836

Title

Owner

Phone

(512) 588-9230

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20019/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerod K Shaw, MD

  • Pain Medicine Physician
  • Marble Falls, TX
  • NPI 1407030836

  Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Christina Michelle Belaj, FNP

  • Family Nurse Practitioner
  • Marble Falls, TX
  • NPI 1174119697
  Medicare reassignment NPD
• Chad Chase, PA

  • Medical Physician Assistant
  • Marble Falls, TX
  • NPI 1356333025
  Medicare reassignment
• Gary R Albertson, DO

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1225063951
  NPD (past)
• Michael Corey Cricchio, APRN

  • Nurse Practitioner
  • Lampasas, TX
  • NPI 1073786448
  NPD (past)

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1104479146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FM 1431 EAST, SUITE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545252",
            "telephone_number": "830-220-5007",
            "fax_number": "830-220-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FM 1431 EAST, SUITE 201",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545252",
            "telephone_number": "830-220-5007",
            "fax_number": "830-220-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW PAIN CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "JEROD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-588-9230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simran Sedani, M.D.
• Senior Health Northwood LLC
• Zainab Shahid, DO
• Gary Edward Shanks, MD
• Shannon Jeannette Sharp
• Jerod K Shaw, MD
• Kevin R Shelly, M.D.
• Sidney Shinkawa, MD
• Andrey Shlyakt, PHARM D
• Mazen Nezar Shobassy, MD

• Interventional Pain Medicine Physician in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Interventional Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.