Maurice H Shaw, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME17432 Issued in FL

Practice address

4446 E Fletcher Ave
Suite a
Tampa, FL 33613

Phone

(813) 971-6700

Fax

(813) 977-1352

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • Tampa, FL
  • NPI 1508532540
  NPD (past)
• Pediatric Health Care Alliance, PA

  • Pediatrics Physician
  • Oldsmar, FL
  • NPI 1609965441
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1629085477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TAMPA RD",
            "address_2": "STE. 101",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773224",
            "telephone_number": "813-854-2003",
            "fax_number": "813-855-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4446 E FLETCHER AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-971-6700",
            "fax_number": "813-977-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MAURICE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME17432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035899100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keiba Lynn Shaw, PT, EDD
• Kimberly Frances Shaw, LMSW
• Lauren Shaw, PA-C
• Lauren Bass Shaw, APRN
• Mattie Lynn Shaw, MS
• Michael Charles Shaw, M.D.
• Robert Shaw, MD
• Robert J. Shaw, M.D.
• Sharon V Shaw, LMHC
• Stacey A Shaw, LCSW

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.