Individual provider Active NPI

David Wayne Shaw, CRNA

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
National Provider Identifier
1760787451
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP119964 Issued in TX
Practice address
7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202
Phone
(806) 744-7223
Fax
(806) 740-3325
NPI assigned
Jan 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 688169 TX
Certified Registered Nurse Anesthetist 367500000X AP119964 TX Primary

Addresses

Primary practice location

7509 Marsha Sharp Fwy
Lubbock, TX 79407-8202

Mailing address

4515 Marsha Sharp Fwy
Grace Clinic of Lubbock
Lubbock, TX 79407
Phone (806) 744-7223

Other practice location 1

5115 80th St
Lubbock, TX 79424-3017
Phone (806) 788-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110505000550 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032394135 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians Network PLLCGroup PAC ID 5496029407, 218 clinicians
West Texas Digestive Disease Center P.a.Group PAC ID 7416043161, 10 clinicians

Practice addresses (Care Compare)

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 725-4000

5115 80TH St
Lubbock, TX 79424-3017
Phone (806) 788-4368

Hospital & facility affiliations

  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Clinic of Lubbock CurrentSince Oct 1, 2013 Accepting new patients
Lamb Healthcare Center CurrentSince Jan 6, 2017 Accepting new patients
Independent Physicians Network PLLC CurrentSince Jun 1, 2024 Accepting new patients
County of Yoakum CurrentSince Jun 20, 2022 Accepting new patients
West Texas Digestive Disease Center, PA Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2024 Accepting new patients
Grace Clinic of Lubbock CurrentSince Oct 1, 2013 Accepting new patients
Lamb Healthcare Center CurrentSince Jan 6, 2017 Accepting new patients
County of Yoakum CurrentSince Jun 20, 2022 Accepting new patients
South Plains Pathology Inc Past Accepting new patients

Locations

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

1900 College Ave
Levelland, TX 79336
Phone (806) 894-3141

1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411

5115 80th St
Lubbock, TX 79424
Phone (806) 788-4368

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

4515 Marsha Sharp Fwy
Lubbock, TX 79407
Phone 80674472232432

2412 50th St
Lubbock, TX 79412
Phone (806) 788-4000

7509 Marsha Sharp Fwy
Lubbock, TX 79407
Phone (806) 723-9000

2601 Dimmitt Rd
Plainview, TX 79072
Phone (806) 296-4282

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1760787451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARSHA SHARP FWY",
            "address_2": "GRACE CLINIC OF LUBBOCK",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79407",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MARSHA SHARP FWY",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794078202",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 80th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794243017",
            "country_code": "US",
            "telephone_number": "806-788-4368",
            "fax_number": "806-788-4369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "688169",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP119964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.