Robert D Shaw Jr., M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7A02 Issued in MO

Practice address

816 E Main St
Willow Springs, MO 65793-1518

Phone

(417) 269-2490

Fax

(417) 269-2492

NPI assigned

Sep 27, 2006

Last updated

Aug 2, 2023By 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 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.shaw1@cernerdirect.coxhealth.com

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.

• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Family Medicine

  Medicare reassignment NPD
• Lester E Cox Medical Centers

  dba CoxHealth Neurology

  • Neurology Physician
  • Springfield, MO
  • NPI 1023763414
  NPD
• Lester E Cox Medical Centers

  dba Coxhealth Center Willow Springs

  • Family Medicine Physician
  • Willow Springs, MO
  • NPI 1417122326
  NPD
• Lester E. Cox Medical Centers

  dba Shell Knob Family Medicine

  • Family Medicine Physician
  • Shell Knob, MO
  • NPI 1538334396
  NPD
• Ozarks Medical Center

  • Psychiatric Hospital Unit
  • West Plains, MO
  • NPI 1235929027
  NPD
• Willow Health Care Inc

  dba Willow Health Care

  • Skilled Nursing Facility
  • Willow Springs, MO
  • NPI 1952302788
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1184715724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E MAIN ST",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931518",
            "telephone_number": "417-269-2490",
            "fax_number": "417-269-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7A02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201741006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Marie Ross, CPHT
• Tanya Dee Ruth
• Cadee Madison Rutledge, MSCF-SLP
• Scott Errol Salvesen, PLPC
• Douglas Russel Schoch, LMT
• Deborah Lou Sheehan, DO
• Bailey Siegrist
• Small Town Physical Therapy, LLC
• Alaina Taylor Smith, PHARMD
• Rylea Smith, CHW

• Family Medicine Physician in Willow Springs, MO
• Providers in Willow Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.