Jesse Shaw, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

OS10003 Issued in FL

Practice address

17779 SW 2ND St
Pembroke Pines, FL 33029-3924

Phone

(954) 450-0099

Fax

(954) 450-0022

NPI assigned

Mar 30, 2007

Last updated

Aug 27, 2025By the provider in NPPES

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

Other names 1

• Mr. Jesse Zisholtz Shaw Other name

Medicare fee-for-service enrollment

Enrolled in FL

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

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

All-Pro Orthopedics and Sports Medicine PAGroup PAC ID 5092960898, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCIGCD/Endpoint/CCIGCD

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.

• All-Pro Orthopedics and Sports Medicine PA

  • Orthopaedic Surgery Physician
  • Pembroke Pines, FL
  • NPI 1770837148
  Medicare reassignment Care Compare group NPD Authorized official
• All Pro Medical Center, PLLC.

  • Pain Medicine (Anesthesiology) Physician
  • Hialeah, FL
  • NPI 1023511946
  Medicare reassignment NPD
• North Okaloosa Clinic Corp

  • Internal Medicine Physician
  • Crestview, FL
  • NPI 1659329852

  Orthopaedic Surgery

  NPD
• All Pro Medical Center, PLLC.

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1073270385
  NPD (past)
• All Pro Medical Center, PLLC.

  • Pain Medicine Physician
  • Lauderdale Lakes, FL
  • NPI 1083378558
  NPD (past)
• All Pro Medical Center, PLLC.

  • Pain Medicine Physician
  • Pembroke Pines, FL
  • NPI 1134883606
  NPD (past)
• All Pro Medical Center, PLLC.

  • Pain Medicine Physician
  • Miami, FL
  • NPI 1710641279
  NPD (past)
• All Pro Medical Center, PLLC.

  • Pain Medicine Physician
  • Hollywood, FL
  • NPI 1922762491
  NPD (past)
• All-Pro Orthopedics and Sports Medicine PA

  • Clinic/Center
  • Lauderdale Lakes, FL
  • NPI 1306510300
  NPD (past)
• All-Pro Orthopedics and Sports Medicine PA

  • Clinic/Center
  • Hollywood, FL
  • NPI 1346914348
  NPD (past)
• All-Pro Orthopedics and Sports Medicine PA

  • Orthopaedic Surgery Physician
  • Hialeah, FL
  • NPI 1780459255
  NPD (past)
• All-Pro Orthopedics and Sports Medicine PA

  • Clinic/Center
  • Hialeah, FL
  • NPI 1811661812
  NPD (past)

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

• Larkin Community Hospital Palm Springs Campus, LLC

  • General Acute Care Hospital
  • Hialeah, FL
  • NPI 1013382860
  Care Compare affiliation

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1396865788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17779 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17779 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "954-450-0099",
            "fax_number": "954-450-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 W 49th Pl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123147",
            "country_code": "US",
            "telephone_number": "954-399-5976",
            "fax_number": "954-322-1099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS10003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278697400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "SHAW",
            "middle_name": "ZISHOLTZ",
            "prefix": "MR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rohit Sharma, D.M.D.
• Zaineb Shatawi, MD
• Meriam Ihsan Shather, D.M.D.
• Blane T Shatkin, MD
• Daniella N. Shaw, LCSW
• Leslie G Shawn, DO
• Shazia Zafar MD LLC
• Lacey Sheffield, APRN
• Taryn Sheffield
• Enas Shehadeh, O.D

• Orthopaedic Surgery Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.