Timothy Alan Shaw Sr., D.O.

Key facts

NPI

1306160296

Entity type

Individual (NPI type 1)

Primary specialty

Surgery Physician 208600000X

License

DO76 (AL)

Practice address

9025 State Highway 253
Guin, AL 35563-4312

Phone

(205) 441-1598

NPI assigned

Mar 21, 2010

Sex

Male

Sole proprietor

Yes

Organizations & group practices 8

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.

• Southern Immediate Care, LLC Urgent Care Clinic/Center · Anniston, AL · NPI 1467909978
  Medicare reassignment Care Compare group NPD AL
• American Family Care, LLC Primary Care Clinic/Center · Birmingham, AL · NPI 1669429080
  Medicare reassignment NPD AL
• Paragon Contracting Services LLC Emergency Medicine Physician · Birmingham, AL · NPI 1225071459
  Medicare reassignment NPD AL
• Correct Care, Inc. Emergency Medicine Physician · Covington, LA · NPI 1215987441
  Medicare reassignment NPD AL
• After Hours Clinic Inc Family Medicine Physician · Jasper, AL · NPI 1215958103
  NPD
• After Hours Clinic Inc Sumiton Family Medicine Physician · Sumiton, AL · NPI 1932304292
  NPD
• American Family Care, LLC Family Medicine Physician · Vestavia Hills, AL · NPI 1265210645
  NPD
• American Family Care, LLC Primary Care Clinic/Center · Montgomery, AL · NPI 1295147106
  NPD

Medicare Care Compare profile

Specialty

General Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Immediate Care, LLC (46 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 21, 2010.

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269129600000",
    "number": "1306160296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 STATE HIGHWAY 253",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355634312",
            "telephone_number": "205-441-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 STATE HIGHWAY 253",
            "city": "GUIN",
            "state": "AL",
            "postal_code": "355634312",
            "telephone_number": "205-441-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "TIMOTHY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "DO76",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Guin, AL · Surgery Physician in Alabama