DR. MICHAEL CHARLES SHAW M.D. NPI 1386619328

NPI Information

NPI: 1386619328
Provider Name: DR. MICHAEL CHARLES SHAW, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
4516 N ARMENIA AVE
TAMPA, FL
ZIP 33603
Phone: (813) 348-6951
Get Directions

DR. Michael Charles Shaw, M.D. is a diagnostic radiology radiology in Tampa, FL with 47 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Michael Charles Shaw, M.D. NPI is 1386619328. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year:1977

The provider's business location address is:

4516 N ARMENIA AVE
TAMPA, FL
ZIP 33603-732
Phone: (813) 348-6951
Fax: (813) 348-6999

The NPI 1386619328 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 4/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		ME38268	FLORIDA	No
2	2085R0202X	Radiology	Diagnostic Radiology	ME38268	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D62176	MEDICARE UPIN	FLORIDA
2	300032780	OTHER	FLORIDA	RR MCR
3	30440V	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
4	069593900	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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