Richard K Shaw, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

018088 Issued in CT

Practice address

12 Villa Rosa Ter
Milford, CT 06460-7915

Phone

(203) 882-8380

Fax

(203) 882-8384

NPI assigned

Aug 3, 2006

Sex

Male

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 1

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 and National Provider Directory roles.

• Cardiothoracic Surgical Associates, P.C.

  • Cardiovascular Disease Physician
  • New Haven, CT
  • NPI 1841495777
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1437167772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 VILLA ROSA TER",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607915",
            "telephone_number": "203-882-8380",
            "fax_number": "203-882-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 VILLA ROSA TER",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064607915",
            "telephone_number": "203-882-8380",
            "fax_number": "203-882-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "018088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001180884",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skylar Joy Shandrowski, LPC-A
• Daniel Evan Shapiro, PHARMD
• Marc Shapiro, PHARM D
• Martin Robert Shapiro, M.D.
• Timothy Louis Sharpe, MD
• Jill P Shea
• Sheber Hutton LMFT LLC
• Kaitlyn Shemitz, DPT
• Amy Sherwood, CRNA
• Lawrence Shinbaum, MD

• Cardiovascular Disease Physician in Milford, CT
• Providers in Milford, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.