Michael C Shaw, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5181650-1205 Issued in UT

Practice address

984 Medical Dr Ste 1
Brigham City, UT 84302-4712

Phone

(435) 723-5248

Fax

(435) 723-5240

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 UT

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

Family Practice

Education

Creighton University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Murray, UT, CCN 467100
• Community Nursing Services Home health agency, West Valley City, UT, CCN 467001
• Brigham City Community Hospital Hospital, Brigham City, UT, CCN 460017
• Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
• Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• UT PPO D-SNP
• UT PPO

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.

• Mountain Top Medical, PLLC

  • Family Medicine Physician
  • Brigham City, UT
  • NPI 1235783994
  NPD Authorized official

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

• Brigham City Community Hospital, Inc.

  • General Acute Care Hospital
  • Brigham City, UT
  • NPI 1245282227
  Care Compare affiliation
• Community Nursing Service

  • Home Health Agency
  • West Valley City, UT
  • NPI 1497703870
  Care Compare affiliation
• Eh Home Health of the West, LLC

  • Home Health Agency
  • Murray, UT
  • NPI 1114208550
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Ogden, UT
  • NPI 1194749580
  Care Compare affiliation
• Ihc Health Services Inc

  • General Acute Care Hospital
  • Tremonton, UT
  • NPI 1679582944
  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": "1269302400000",
    "number": "1235161936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR STE 1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024712",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 MEDICAL DR STE 1",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024712",
            "telephone_number": "435-723-5248",
            "fax_number": "435-723-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5181650-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870282100012",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Broderick Duane Scothern
• Tanner Scott
• Taylor Curis Sedillo
• Jarrett Don Shakespear
• Chuck Sharp, LPC
• Mikelle Shaw
• Samantha Shaw
• Viola Shaw
• Emma Sheid
• Bradley Sherman

• Family Medicine Physician in Brigham City, UT
• Providers in Brigham City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.