Active NPI
Eric T Shaw, MD
- Pediatrics Physician
- Littleton, CO
National Provider Identifier
1396908711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 49764
- Practice address
- 13402 W Coal Mine Ave
Suite 200
Littleton, CO 80127-5407 - Phone
- (303) 973-9300
- Fax
- (303) 973-9308
- NPI assigned
- Jul 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 49764 | CO | Primary |
Addresses
Primary practice location
13402 W Coal Mine Ave
Suite 200
Littleton, CO 80127-5407
Mailing address
13402 W Coal Mine Ave
Suite 200
Littleton, CO 80127-5407
Phone (303) 973-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49764 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| Children's Hospital Colorado | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- eshaw43406@direct.childrenscolorado.org
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
dba CHCO - Pediatrics West - Wheat Ridge
- Pediatrics Physician
- Wheat Ridge, CO
- NPI 1518720481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1396908711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE",
"address_2": "SUITE 200",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275407",
"telephone_number": "303-973-9300",
"fax_number": "303-973-9308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13402 W COAL MINE AVE",
"address_2": "SUITE 200",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801275407",
"telephone_number": "303-973-9300",
"fax_number": "303-973-9308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ERIC",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-07",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "49764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, CO
- Sharp Sounds Two, LLC (Zounds of West Littleton)
- Emily Lacina Sharp, DPT
- Douglas Howard Sharpe, O.D.
- Lauren Sharry, LCSW
- Karl Gregory Shaver
- Shawn Vanwinkle, DC, LL (Colorado Integrative Neurology)
- Shayna Sengewalt DDS PLLC
- Ellen Sheahan, MA, LPC
- Barbara Sheehan-Zeidler, MA, NCC, LPC
- Grace Ashley Sheehan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.