Individual
DR. TAVIS M. SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-9292
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OS013233
PA
208800000X
Urology Physician
Primary
14235720-1204
UT
208800000X
Urology Physician
34.009996
OH
208800000X
Urology Physician
OS013233
PA
Other
Enumeration date
11/06/2006
Last updated
05/20/2026
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