Clayton Thomas Shaw, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G8757 Issued in TX

Practice address

3453 Saint Francis Ave
Suite 125
Dallas, TX 75228-7199

Phone

(972) 279-0559

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

Practice roles

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.

• Female Specialty Care Inc

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1700990454
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1265496178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 TOBIN TRL",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750432534",
            "telephone_number": "972-240-4319",
            "fax_number": "972-240-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 SAINT FRANCIS AVE",
            "address_2": "SUITE 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287199",
            "telephone_number": "972-279-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CLAYTON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G8757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098656401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Nicole Shaw, MD
• Annie Shaw, MD
• Carolyn Shaw
• Carson Shaw
• Cathryn Johnson Shaw, M.D.
• Daphna Jean Shaw
• Gwen E. Shaw, LMFT, LPC
• Hilary Gordon Shaw, LCSW06
• Holly Shaw
• Jason Shaw, LCSW

• Obstetrics & Gynecology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.