Shaw Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SHAW PLASTIC SURGERY, LLC

Practice address

3595 N Webb Rd
Wichita, KS 67226-8168

Phone

(316) 440-9801

Fax

(316) 440-9701

NPI assigned

Jun 15, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beth Gustaf

Title

Office Manager

Phone

(316) 440-9801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Shaw, M.D.

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1457459364
  Medicare reassignment NPD
• Omar Elfanagely, MD

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1932639093
  NPD (past)
• Ronald Royce Manasco, MD

  • Pain Medicine (Anesthesiology) Physician
  • Wichita, KS
  • NPI 1487625406
  NPD (past)
• Kristin K Miller, APRN

  • Nurse Practitioner
  • Wichita, KS
  • NPI 1619255312
  NPD (past)
• Kenton W Schoonover, MD

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1780611178
  NPD (past)
• Chivukula Subbarao, MD

  • Surgery Physician
  • Wichita, KS
  • NPI 1437169109
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1174973606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268168",
            "telephone_number": "316-440-9801",
            "fax_number": "316-440-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268168",
            "telephone_number": "316-440-9801",
            "fax_number": "316-440-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "GUSTAF",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-440-9801"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Russell Shaver, APRN
• Drea Lanae Shaver, DNP, APRN, FNP-C
• Erica Shaver
• Mark Shaver, PH.D., CCC-A
• Timothy S Shaver, MD
• Nina Shaw-Woody, LMSW
• Angela Shaw, LMSW
• Anthony Shaw, MD
• Jacob D Shaw, O.D.
• James M Shaw, M.D.

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.