Clyde E Shaw, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E2856 Issued in TX

Practice address

300 N Highland Ave Ste 550
Sherman, TX 75092-7390

Phone

(903) 957-7429

Fax

(903) 957-7424

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hillcrest Healthcare Services Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Sherman, TX
  • NPI 1164463576
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1902824261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 550",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-957-7429",
            "fax_number": "903-957-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N HIGHLAND AVE STE 550",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750927390",
            "telephone_number": "903-957-7429",
            "fax_number": "903-957-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CLYDE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E2856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100155410A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129563607",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129563606",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Patricia Shahan, NP
• Chloe Sharker
• Patricia Sharkey, M.D.
• Rel Vincent Sharp, LPC
• Shaw Pediatrics PA
• Rahaf Ali Shawakfeh, SLPA
• Shawn Macdonald, M.D., P.a.
• Mercedes Shea
• Lauri Shebesh, CNP-C
• Hayley Michelle Sheets, SLP

• Pediatrics Physician in Sherman, TX
• Providers in Sherman, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.