Timothy L Shaw, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

26580 Issued in AK

Practice address

11055 Owhat Cir
Eagle River, AK 99577-8226

Phone

(907) 227-9592

NPI assigned

Feb 15, 2006

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

Enrolled in AK

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alpine Anesthesia LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1750600995

  AK

  Medicare reassignment NPD
• Alaska Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1093710717
  NPD (past)
• Chugach Anesthesia, LLC

  • Anesthesiology Physician
  • Anchorage, AK
  • NPI 1093712358
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1124092002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 OWHAT CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778226",
            "telephone_number": "907-227-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 OWHAT CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778226",
            "telephone_number": "907-227-9592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AK",
            "license": "26580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Shackelford, BCBA
• Brittainy Birgit Shafer, MSN, RN
• Joseph M Shannon, LMT
• Karin Shannon, LCSW
• Rebecca Marie Shaw, PHD, LPC
• Jessalyn Nicole Sheaffer
• Vanessa Sheets
• Joseph Shepherd
• Jangmoo Sherpa
• Brittany Victoria Sholts, OTR/L

• All providers in Eagle River, AK
• Certified Registered Nurse Anesthetist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.