Christian Shaw, M.D., PH.D

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

49232 Issued in AZ

Practice address

3014 E Camelback Rd Ste 741
Phoenix, AZ 85016-4404

Phone

(480) 455-0462

NPI assigned

Jul 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

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, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1205114816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3014 E CAMELBACK RD STE 741",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164404",
            "telephone_number": "480-455-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3014 E CAMELBACK RD STE 741",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164404",
            "telephone_number": "480-455-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CHRISTIAN",
        "credential": "M.D., PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-31",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NM",
            "license": "MD20130858",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "49232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12653055",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaw Concepts LLC
• Shaw Health LLC
• Alexander L. Shaw, D.M.D.
• Amy E Shaw, CRNA
• Brandon J Shaw, DO
• Elysa Shaw, M.D.
• Jadeyn Taylor Shaw
• Jennifer Shaw, D.M.D.
• Katherine Shaw, M.S. OTR/L. M.ED.
• Martha Shaw, PTA

• Occupational Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.