Grady C Shaw, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F7158 Issued in TX

Practice address

401 Hospital Dr
Suite 140
Corsicana, TX 75110-2415

Phone

(903) 872-3005

Fax

(903) 875-7229

NPI assigned

Feb 21, 2006

Last updated

Nov 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical and Surgical Associates of Corsicana

  • Occupational Health Chiropractor
  • Corsicana, TX
  • NPI 1326292194
  NPD (past)
• Medical and Surgical Associates of Corsicana PLLC

  • Surgery Physician
  • Corsicana, TX
  • NPI 1730379900

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1598730939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W 6TH AVE",
            "address_2": "SUITE 120",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751105243",
            "telephone_number": "903-555-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HOSPITAL DR",
            "address_2": "SUITE 140",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102415",
            "telephone_number": "903-872-3005",
            "fax_number": "903-875-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "GRADY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F7158",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F7158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DG9311",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00463100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125737006",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00Y226",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leila Dianne Scrivner, PT
• Bailey Wren Scruggs
• Shawkat N Shafik, MD
• Mussarat Shafiq, M.D.
• Shamrock Care Center, Inc. (Heritage Oaks West Retirement Village)
• Jimmie Jo Shelton, OTA
• Shepherd's Touch Ministries, Inc (Home Helpers/Direct Link)
• Constance Pugh Sheriff, OTR
• Thomas H Sheriff, PHD
• Ashruff James B Shihab, BC-HIS

• Family Medicine Physician in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.