Active NPI
David Wayne Shaw, CRNA
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP119964
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grace Clinic of Lubbock | Current | Accepting new patients | |
| Lamb Healthcare Center | Current | Accepting new patients | |
| Independent Physicians Network PLLC | Current | Accepting new patients | |
| County of Yoakum | Current | Accepting new patients | |
| West Texas Digestive Disease Center, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Grace Clinic of Lubbock | Current | Accepting new patients | |
| Lamb Healthcare Center | Current | Accepting new patients | |
| County of Yoakum | Current | 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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
-
- Medical Specialty Clinic/Center
- Lubbock, TX
- NPI 1720299381
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Denver City, TX
- NPI 1790702371
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1912953357
-
- General Acute Care Hospital
- Littlefield, TX
- NPI 1700854288
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Denver City, TX
- NPI 1093706442
-
- Multi-Specialty Clinic/Center
- Lubbock, TX
- NPI 1770237042
-
- Rural Health Clinic/Center
- Olton, TX
- NPI 1912352584
-
- Clinical Medical Laboratory
- Lubbock, TX
- NPI 1942815964
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1225289499
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.