Shawn Clark, M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

23993 Issued in AL

Legal business name

SHAWN CLARK, M.D., P.C.

Practice address

6701 Airport Blvd
#C138
Mobile, AL 36608-6705

Phone

(251) 295-2579

NPI assigned

Oct 17, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Broxton Clark, M.D.NPI 1306849575

Title

Physician

Phone

(251) 295-2579

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn B Clark, M.D.

  • Neurological Surgery Physician
  • Mobile, AL
  • NPI 1306849575
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Hill Luscher, CRNP

  • Nurse Practitioner
  • Daphne, AL
  • NPI 1154739548
  Medicare reassignment Care Compare group NPD
• Jesse Edmund Hollen

  • Physician Assistant
  • Mobile, AL
  • NPI 1588237036
  Medicare reassignment Care Compare group
• Richard O Nenstiel, PAC

  • Surgical Physician Assistant
  • Gulf Breeze, FL
  • NPI 1053313312

  AL

  Medicare reassignment Care Compare group
• James Ronald Hirsch, MD

  • Neurological Surgery Physician
  • Mobile, AL
  • NPI 1609867803
  Medicare reassignment NPD
• Hallie Marie Taylor, PA-C

  • Physician Assistant
  • Mobile, AL
  • NPI 1912537903
  Medicare reassignment
• Melanie Joy Giambrone, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
  • NPI 1700341195
  Care Compare group

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1972931533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "#C138",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-295-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD",
            "address_2": "#C138",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086705",
            "telephone_number": "251-295-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN CLARK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "BROXTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "251-295-2579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "23993",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Merritt Shaw, OTR/L
• Clifton Eugene Shaw, DPH
• David M Shaw, M.D.
• Dewey Paul Shaw, M.D.
• Regan Shaw, MD
• Tiffany B Shea, ALC
• Alfred Lewis Shearer, MD
• Shearmetrics Hair Salon
• George Patterson Shedd III, DMD
• Annie Marie Sheffield, CPSS

• Specialist in Mobile, AL
• Providers in Mobile, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.