NPIMap

Individual provider Active NPI

William Frederick Shaw Jr., MD

  • Cardiovascular Disease Physician
  • Winston Salem, NC
National Provider Identifier
1467517631
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2021-00246 Issued in NC
Practice address
Medical Center Blvd
Winston Salem, NC 27157-1301
Phone
(336) 716-6674
Fax
(336) 716-9188
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35066118 OH
Nuclear Cardiology Physician 207UN0901X 2021-00246 NC
Cardiovascular Disease Physician 207RC0000X 2021-00246 NC Primary

Addresses

Primary practice location

Medical Center Blvd
Winston Salem, NC 27157-1301

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-6674

Other practice location 1

3801 W Market St
Greensboro, NC 27407-1301
Phone (336) 883-0029

Other practice location 2

144 Forest Hill Rd Ste 144&146
Lexington, NC 27295-2008
Phone (336) 481-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041122001318 OH Practitioner - Cardiovascular Disease (Cardiology) 5294790945 Reassigns benefits to 1 organization
I20210305001838 NC Practitioner - Cardiovascular Disease (Cardiology) 5294790945 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Michigan Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35066118OHMDCardiovascular Disease Physician
2021-00246NCMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jun 1, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 20, 2020 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 20, 2020 Accepting new patients
Novant Health Medical Group, LLC Cardiovascular Disease CurrentSince Dec 17, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Dec 17, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Cardiovascular Disease CurrentSince Dec 17, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 17, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Jan 23, 2024 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Jan 23, 2024 Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center Cardiovascular Disease Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6450

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

694 Riverside Dr
Mount Airy, NC 27030
Phone (336) 719-7892

1917 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 903-0147

211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

2001 Scioto Trl
Ste 200
Portsmouth, OH 45662
Phone (740) 353-8100

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: wshaw1232692@direct.novanthealth.org
  • Direct secure messaging: wshaw2900446@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1467517631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571301",
            "telephone_number": "336-716-6674",
            "fax_number": "336-716-9188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 W Market St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274071301",
            "country_code": "US",
            "telephone_number": "336-883-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "144 Forest Hill Rd Ste 144&146",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272952008",
            "country_code": "US",
            "telephone_number": "336-481-1730",
            "fax_number": "336-481-1739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "WILLIAM",
        "middle_name": "FREDERICK",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35066118",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "2021-00246",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2021-00246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.