Individual
EDWARD GUS SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 713-6565
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 713-6565
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
9500719
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12163
PARTNERS
—
05
—
1802889000
—
WV
01
—
5141217
AETNA
—
01
—
57725
MEDCOST
—
05
—
7208707
—
VA
01
—
75531
BCBS
—
05
—
8975531
—
NC
01
—
920006958
RR MEDICARE
—
05
—
Q00719
—
SC
Enumeration date
11/16/2005
Last updated
11/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us