Mary Louise Shaw, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35. 049643 Issued in OH

Practice address

9336 Madison Rd NE
Washington Court House, OH 43160-9341

Phone

(740) 869-4674

NPI assigned

May 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568663839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 MADISON RD NE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608633",
            "telephone_number": "740-869-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9336 MADISON RD NE",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609341",
            "telephone_number": "740-869-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35. 049643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Schiller
• Eric L Schirm, RPH
• Kurt N Schmidt, D.O.
• Chelsea Lynn Schultz, PHARMD
• Amanda Jo Secrest, RN
• Chelsea Nichole Showalter
• Melissa Siemer, RPH
• Sydney Simons
• Edward Raymond Sipe, LPCC
• Skin Firm, LLC

• General Practice Physician in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.