CODY EUGENE SHAW
NPI 1063973790
Military Health Care Provider - Independent Duty Corpsman in Groton, CT

Q: What is Cody Shaw's NPI number?

The NPI number for Cody Shaw is 1063973790. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Q: What is Cody Shaw's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Cody Shaw was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 26, 2019

NUMI, TROUT AVE BUILDING 83, GROTON, CT 06340(860) 694-2876 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cody Eugene Shaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY EUGENE SHAW (NPI 1063973790) is an individual independent duty corpsman provider in Groton, Connecticut and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1063973790

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameCODY EUGENE SHAW

Location AddressNUMI, TROUT AVE BUILDING 83Groton, CT 06340

Mailing Address5 Wells StGroton, CT 06340-3336 · (682) 553-2447

Phone(860) 694-2876

Sole ProprietorNo

Enumeration DateMarch 26, 2019

✔ NPI 1063973790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

NUMI, Groton, CT 06340

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Shaw's NPI number?

The NPI number for Cody Shaw is 1063973790. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Cody Shaw located?

Cody Shaw practices at Numi Trout Ave Building 83, Groton, CT 06340. The listed phone number is (860) 694-2876.

What is Cody Shaw's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Cody Shaw was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.