John W Shaw, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35068596 Issued in OH

Practice address

1400 E 2ND St
Defiance, OH 43512-2440

Phone

(419) 784-1414

NPI assigned

Jul 6, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

General Surgery

Education

University of Cincinnati College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Defiance Hospital Hospital, Defiance, OH, CCN 360270
• Paulding County Hospital Hospital, Paulding, OH, CCN 361300
• Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jshaw82644@direct.bsmhealth.org
• Direct secure messaging: jshaw74742@direct.parkviewexchange.com

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.

• Mercy Medical Partners Northern Region Specialty Care LLC

  • Surgery Physician
  • Defiance, OH
  • NPI 1730701749
  Medicare reassignment Care Compare group NPD
• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418
  Medicare reassignment NPD
• Mercy Health Physicians-North LLC

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1609000769
  Medicare reassignment NPD
• Mercy Medical Partners Northern Region LLC

  • Multi-Specialty Clinic/Center
  • Defiance, OH
  • NPI 1669756532
  Medicare reassignment NPD
• Mercy Health Physicians - North, LLC

  • Customized Equipment (DME)
  • Perrysburg, OH
  • NPI 1992358766
  NPD
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Toledo, OH
  • NPI 1235891672
  NPD
• Mercy Medical Partners Northern Region LLC

  • Durable Medical Equipment & Medical Supplies
  • Napoleon, OH
  • NPI 1710405808
  NPD
• Mercy Medical Partners Northern Region Specialty Care LLC

  • Customized Equipment (DME)
  • Defiance, OH
  • NPI 1043972482
  NPD
• Fauster Cameron Inc.

  • Multi-Specialty Clinic/Center
  • Defiance, OH
  • NPI 1649253964
  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health - Defiance Hospital LLC

  • General Acute Care Hospital
  • Defiance, OH
  • NPI 1629011234
  Care Compare affiliation
• Mercy Health - St Vincent Medical Center LLC

  • General Acute Care Hospital
  • Toledo, OH
  • NPI 1467493551
  Care Compare affiliation
• Paulding County Hospital

  • Critical Access Hospital
  • Paulding, OH
  • NPI 1144298514
  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283472000000",
    "number": "1104858745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435122440",
            "telephone_number": "419-784-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35068596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson Seibert
• Elizabeth Marie Seibert, PHARMD
• Katherine Shaffer
• Nancy Shannon, LSW
• Mohamed Omer Sharif, M.D.
• Bethany Shirkey
• Harley C Shock
• Matthew Shumaker
• Eric Sierra, LPCC
• Nicole Siewert

• Surgery Physician in Defiance, OH
• Providers in Defiance, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.