Alfred Eddie Shaw, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD19524 Issued in TN

Practice address

607 W Due West Ave Ste 102
Madison, TN 37115-4420

Phone

(615) 868-2229

Fax

(615) 868-3635

NPI assigned

Oct 5, 2005

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

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

Locations

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.

• Meharry Medical College

  • Clinic/Center
  • Nashville, TN
  • NPI 1205859279
  NPD
• Due West Family Healthcare Inc

  • Family Medicine Physician
  • Madison, TN
  • NPI 1457346702
  NPD (past)
• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)
• Moore Life Enterprises Inc

  • Hospitalist Physician
  • Nashville, TN
  • NPI 1609869247
  NPD (past)
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1730176579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 102",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-868-2229",
            "fax_number": "615-868-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 102",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-868-2229",
            "fax_number": "615-868-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ALFRED",
        "middle_name": "EDDIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TN",
            "license": "MD19524",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD19524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Health Care, P.C.
• Lily Setter
• Justin Sexton, CRNA
• Ann Dalton Shackelford
• Jerry Baxter Shackelford, D. C.
• Carvonsha Denise Shaw, CLD,CPD,CLSE
• David James Sheehan, CRNA
• Katherine Reeves Sheridan, NP
• Jared Maxwell Shermer, RN
• Brian Alexander Shook, PHARM.D.

• Surgery Physician in Madison, TN
• Providers in Madison, TN by specialty
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.