Michael Douglas Shawn, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

L2004 Issued in TX

Practice address

900 S Bryan Rd
Mission, TX 78572-6613

Phone

(956) 580-9000

NPI assigned

Nov 17, 2005

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 3

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rio Grande Valley Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Weslaco, TX
  • NPI 1801877212
  Medicare reassignment NPD
• San Benito Healthcare 1, LLC

  • General Acute Care Hospital
  • San Benito, TX
  • NPI 1336100429
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1447232194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S SAN ANTONIO AVE",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892541",
            "telephone_number": "956-369-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S BRYAN RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785726613",
            "telephone_number": "956-580-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAWN",
        "first_name": "MICHAEL",
        "middle_name": "DOUGLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L2004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R0703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152331801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152331804",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharyland Dental Care PLLC
• Sharyland Family Dentistry, P.C.
• Sharyland Family Medical Clinic PLLC
• Sharyland Imaging Center
• Sharyland Isd
• Mihaela Shuaib, MD
• Stefan Shuaib, MD
• Silguero Dental PLLC
• Jessa Mae Silmaro, PTA
• Cristobal Silva Jr., RN

• Emergency Medicine Physician in Mission, TX
• Providers in Mission, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.