Shaw'S Prosthetics Plus, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SHAW'S PROSTHETICS PLUS, INC

Doing business as

SHAW'S PROSTHETIC PLUS, INC

Practice address

1019 Old Hartford Rd.
Owensboro, KY 42303

Phone

(270) 684-7672

Fax

(270) 684-7094

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lee Shaw, CPO, FAAOP, BOCOP

Title

President Owner

Phone

(270) 684-7672

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SHAW'S PROSTHETIC PLUS, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1265410302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 OLD HARTFORD RD.",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-684-7672",
            "fax_number": "270-684-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 OLD HARTFORD RD.",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "42303",
            "telephone_number": "270-684-7672",
            "fax_number": "270-684-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAW'S PROSTHETICS PLUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "270-684-7672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, FAAOP, BOCOP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90460304",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHAW'S PROSTHETIC PLUS, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Devon Michelle Shaut
• Stephanie Aline Shaver, CSW
• William Douglas Shaver, DMD
• Shaw & Wiederhold PSC
• Kin W Shaw, DMD
• Ashley Shearn
• Charlotte Sheeks
• Sheldon D. Simon
• Lauren K Shelton, APRN
• Felicia Ann Shephard, APRN, PMHNP-BC

• Prosthetic/Orthotic Supplier in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.