Organization
TIMOTHY SHANE SHAW MD, PA
Active
Organization
TIMOTHY SHANE SHAW MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SHANE SHAW M.D. (ORTHOPAEDIC SURGEON)
(936) 328-8080
Entity
Organization
Contact information
Practice address
210 WEST PARK DR., STE 100, LIVINGSTON, TX 77351-9226
(936) 328-8080
(936) 328-8505
Mailing address
210 WEST PARK DR., STE 100, LIVINGSTON, TX 77351-9226
(936) 328-8080
(936) 328-8505
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M1343
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0079QS
BLUE CROSS BLUE SHIELD TEXAS
TX
01
—
1316930183
NPI TYPE 1
TX
05
—
176109001
—
TX
01
—
DD8565
MEDICARE RAILROAD
TX
Enumeration date
03/28/2007
Last updated
03/30/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up