Gary Y Shaw MD PC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

109774 Issued in MO

Legal business name

GARY Y SHAW MD PC

Practice address

296 NE Tudor Rd
Lees Summit, MO 64086-5696

Phone

(816) 524-4890

Fax

(816) 524-4888

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Y Shaw, M.D.

Title

President

Phone

(816) 524-4890

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Amy Y Chow, MD

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1861440547
  NPD
• Festus J Krebs III, M.D.

  • Specialist
  • Lees Summit, MO
  • NPI 1649273541
  NPD
• Elizabeth Ann Karlsen, PHD

  • Audiologist
  • Lees Summit, MO
  • NPI 1881869626
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1669624896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-4890",
            "fax_number": "816-524-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 NE TUDOR RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865696",
            "telephone_number": "816-524-4890",
            "fax_number": "816-524-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY Y SHAW MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-524-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "109774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gargano Dental Enterprise LLC
• Mariya Garner, RDH
• Barbara Garrett
• Jacinda N Garrett, FNP
• Jonah Walker Garrett, M.D.
• Paul J Gass Jr., CRNA
• Gates Chiropractic
• Jacquelyn L Gates, D.C.
• Debbie Diane Gatlin, PTA
• Gatti & Mann DDS PC

• Otolaryngology Physician in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Otolaryngology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.