Organization Active NPI

Rahn Shaw MD PA

  • Family Medicine Physician
  • Apopka, FL
National Provider Identifier
1457376352
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RAHN SHAW MD PA
Practice address
202 N Park Ave # 100
Apopka, FL 32703-4148
Phone
(407) 889-4711
Fax
(407) 889-7742
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Dr. Ronald Lorin Shaw, M.D.
Title
President
Phone
(407) 889-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

202 N Park Ave # 100
Apopka, FL 32703-4148

Mailing address

202 N Park Ave # 100
Apopka, FL 32703-4148
Phone (407) 889-4711

Other identifiers 12

IdentifierTypeStateIssuer
1922099555OtherFLNPI FOR DR. SHAW
12484WOtherFLROBERTO S. PEREZ MD MEDICARE NUMBER
1568719425OtherFLNPI FOR DR. MCCALLA
E1300AOtherFLKELLY OSULLIVAN STOBBE PA MEDICARE NUMBER
N25400006OtherMIDR. PRISKA MEDICARE PIN
1639226459OtherROBERT LEMONS, MD NPI
1639373962OtherMIDR. PRISKA NPI
47663ZOtherFLRONALD SHAW MD MEDICARE NUMBER
1750372934OtherFLNPI FOR KELLY O'SULLIVAN STOBBE P-AC, MS
1700867553OtherFLNPI DR. PEREZ
K9529OtherFLMEDICARE GROUP PIN
1518281310OtherFLNPI DR. LUGO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1457376352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N PARK AVE # 100",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034148",
            "telephone_number": "407-889-4711",
            "fax_number": "407-889-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N PARK AVE # 100",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034148",
            "telephone_number": "407-889-4711",
            "fax_number": "407-889-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHN SHAW MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LORIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-889-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  FOR  DR. SHAW",
            "identifier": "1922099555",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERTO S. PEREZ MD MEDICARE NUMBER",
            "identifier": "12484W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR DR. MCCALLA",
            "identifier": "1568719425",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KELLY OSULLIVAN STOBBE PA MEDICARE NUMBER",
            "identifier": "E1300A",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PRISKA MEDICARE PIN",
            "identifier": "N25400006",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT LEMONS, MD NPI",
            "identifier": "1639226459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. PRISKA NPI",
            "identifier": "1639373962",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RONALD SHAW MD MEDICARE NUMBER",
            "identifier": "47663Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR KELLY O'SULLIVAN STOBBE P-AC, MS",
            "identifier": "1750372934",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. PEREZ",
            "identifier": "1700867553",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "K9529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR. LUGO",
            "identifier": "1518281310",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.

Verify at the official NPI Registry.