Active NPI
Arie C Shaw, M.D.
- Gynecology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 62766
- Practice address
- 880 Madison Ave
Memphis, TN 38103-3409 - Phone
- (901) 515-3500
- Fax
- (901) 515-3509
- NPI assigned
- Apr 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 333667 | LA | |
| Gynecology Physician | 207VG0400X | 62766 | TN | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 036141252 | IL |
Addresses
Primary practice location
880 Madison Ave
Memphis, TN 38103-3409
Mailing address
600 S 13TH St
Ste D
Pekin, IL 61554-4936
Phone (309) 353-0825
Other practice location 1
2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arie.shaw.1@1475.direct.athenahelth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Rochester School of Medicine and Dentistry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7167
Hospital & facility affiliations
- Ochsner Lsu Health Monroe
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.58
- Improvement activities
- 40
- Cost
- 77.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 333667 | LA | MD | Obstetrics & Gynecology Physician |
| 62766 | TN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Obstetrics & Gynecology | Current | Accepting new patients |
| New Albany OB/GYN Clinic PC | Gynecology | Current | Accepting new patients |
| Obhg Mississippi, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| DHP of Louisiana PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Foundation, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Medical Foundation, Inc. | Current | Accepting new patients | |
| Vicksburg Clinic LLC | Current | Accepting new patients | |
| Women'S and Children'S Health PC | Past | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients | |
| Pomelo PC | Obstetrics & Gynecology | Past | Accepting new patients |
| Brfhh Monroe LLC | Past | Accepting new patients |
Locations
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
2401 16th St
Meridian, MS 39301
Phone (601) 482-4181
1800 12th St
Meridian, MS 39301
Phone (601) 483-0011
117 Fairfield Dr
New Albany, MS 38652
Phone (662) 534-0029
200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631
2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001
104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271
Interoperability endpoints
- arie.shaw.1@25307.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Alexandria, LA
- NPI 1013303056
-
- Family Medicine Physician
- Meridian, MS
- NPI 1609820539
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Jackson, MS
- NPI 1083995674
-
- Obstetrics & Gynecology Physician
- Flowood, MS
- NPI 1922143650
-
- Emergency Medicine Physician
- Meridian, MS
- NPI 1700917994
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1215939210
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
-
- Obstetrics & Gynecology Physician
- Bethesda, MD
- NPI 1538827324
-
- Women's Health Nurse Practitioner
- Bethesda, MD
- NPI 1396618815
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1215939210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1821355421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 S 13TH ST",
"address_2": "STE D",
"city": "PEKIN",
"state": "IL",
"postal_code": "615544936",
"telephone_number": "309-353-0825",
"fax_number": "309-347-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033409",
"telephone_number": "901-515-3500",
"fax_number": "901-515-3509"
}
],
"practiceLocations": [
{
"address_1": "2100 Highway 61 N",
"address_purpose": "LOCATION",
"city": "Vicksburg",
"state": "MS",
"postal_code": "391838211",
"country_code": "US",
"telephone_number": "601-883-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAW",
"first_name": "ARIE",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "333667",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "62766",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036141252",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arie.shaw.1@1475.direct.athenahelth.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "2100 Highway 61 N",
"city": "Vicksburg",
"state": "MS",
"country_code": "US",
"postal_code": "391838211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.