Individual provider Active NPI

Michael Allen Shaw, MD

  • Family Medicine Physician
  • Texarkana, AR
National Provider Identifier
1427002146
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-4405 Issued in AR
Practice address
300 E 6TH St
Texarkana, AR 71854-5207
Phone
(870) 779-6064
NPI assigned
May 19, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E-4405 AR
Family Medicine Physician 207Q00000X E-4405 AR Primary

Addresses

Primary practice location

300 E 6TH St
Texarkana, AR 71854-5207

Mailing address

300 E 6TH St
Texarkana, AR 71854-5207
Phone (870) 779-6064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20060303000335 AR Practitioner - Emergency MedicinePractitioner - Family Practice 5496761546 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pafford Health Systems Inc CurrentSince Apr 1, 2024 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 4, 2014 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Jan 9, 2010 Accepting new patients
Forrest City Emergency Physicians PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Pafford Physician Services HM PLLC CurrentSince Mar 13, 2024 Accepting new patients
Pafford Physician Services Em PLLC Emergency Medicine CurrentSince Jan 3, 2024 Accepting new patients
Forrest City Emergency Physicians, PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Pike County Memorial Hospital Past Accepting new patients
Hope-Hempstead Emegency Group LLC Emergency Medicine Past Accepting new patients
Pike County Memorial Hospital Past Accepting new patients

Locations

451 W Locke St
Ashdown, AR 71822
Phone (870) 265-5351

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

1306 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 584-4111

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

100 E 20th St
Ste D
Hope, AR 71801
Phone (870) 722-1020

2001 S Main St
Hope, AR 71801
Phone (870) 722-3800

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

Interoperability endpoints

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

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1427002146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 6TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545207",
            "telephone_number": "870-779-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MICHAEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-4405",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.