James S Shaw, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6124 Issued in SC

Practice address

1344 Haile St
Camden, SC 29020-3076

Phone

(803) 432-1996

Fax

(803) 424-2703

NPI assigned

May 16, 2006

Last updated

Nov 6, 2007By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sentinel Health Partners, PA

  • Obstetrics & Gynecology Physician
  • Camden, SC
  • NPI 1528276177
  NPD (past)
• Sentinel Health Partners, PA

  • Surgery Physician
  • Camden, SC
  • NPI 1619185261
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1346292570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1259",
            "address_2": "SENTINEL HEALTH PARTNERS PA BUSINESS OFFICE",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290211259",
            "telephone_number": "803-713-8350",
            "fax_number": "803-713-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HAILE ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290203076",
            "telephone_number": "803-432-1996",
            "fax_number": "803-424-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAMES",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "6124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061248",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PIN",
            "identifier": "30623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sentinel Health Partners, PA
• Sentinel Health Partners, PA
• Sentinel Health Partners, PA
• Sentinel Health Partners, PA
• Samantha Sharp
• Holly Shealy
• Isabel Sheorn
• Angie Marie Shirley
• Sandra Lee Siegfried, CPSS
• Cassandra B. Sims, LMSW

• Family Medicine Physician in Camden, SC
• Providers in Camden, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.