Ervin Bart Shaw, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

6123 Issued in SC

Practice address

2720 Sunset Blvd
West Columbia, SC 29169-4810

Phone

(803) 936-8146

Fax

(803) 936-8916

NPI assigned

Apr 6, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1962464636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2375",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712375",
            "telephone_number": "803-936-8146",
            "fax_number": "803-936-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-936-8146",
            "fax_number": "803-936-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ERVIN",
        "middle_name": "BART",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061239",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Nannette Shannon, CRNA
• Daniel Joseph Sharpe, PT, DPT
• Samantha Anne Sharpe, PHARMD.
• Shannon Sharpe
• Dina Lynn Sharps, DO
• Heather Shaw, FNP-C
• Robin S Shealey, RPH
• Jennifer Shealy
• Michael Brett Shealy, PT
• Morgan Shealy, OTA

• Anatomic Pathology & Clinical Pathology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.