SHAW PAIN CLINIC PLLC
NPI 1104479146
Pain Medicine - Interventional Pain Medicine in Marble Falls, TX

Q: What is Shaw Pain Clinic PLLC's NPI number?

The NPI number for Shaw Pain Clinic PLLC is 1104479146. It was assigned to this organization in the NPPES registry on July 18, 2019.

Q: What is Shaw Pain Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since July 18, 2019CLIA 45D2176138 · Waiver

503 FM 1431 EAST, SUITE 201, MARBLE FALLS, TX 78654(830) 220-5007(830) 220-5009 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 27, 2020, Jul 18, 2019 (2 updates tracked since 2019).

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About Shaw Pain Clinic Pllc NPPES

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

SHAW PAIN CLINIC PLLC (NPI 1104479146) is a healthcare organization registered as an interventional pain medicine in Marble Falls, Texas and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through December 8, 2027 and lists Jerod K Shaw, Owner, as its authorized official.

NPPES Registry Identity

NPI1104479146

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameSHAW PAIN CLINIC PLLC

Location Address503 FM 1431 EAST, SUITE 201Marble Falls, TX 78654-5252

Mailing Address503 Fm 1431 East, Suite 201Marble Falls, TX 78654-5252 · (830) 220-5007 · Fax (830) 220-5009

Phone(830) 220-5007

Fax(830) 220-5009

Organization SubpartNo

Authorized OfficialJerod K ShawOwner · (512) 588-9230

Enumeration DateJuly 18, 2019

Last NPPES UpdateFebruary 27, 20202 updates tracked since enumeration

✔ NPI 1104479146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

503 FM 1431 EAST, SUITE 201, Marble Falls, TX 78654

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2176138

Shaw Pain Clinic PLLC · Marble Falls, TX

Active · expires Dec 8, 2027

CLIA Number45D2176138

Laboratory TypePhysician Office

Certificate Effective DateDecember 9, 2025

Certificate Expiration DateDecember 8, 2027

Laboratory DirectorJerod K. Shaw

Laboratory Phone(830) 220-5007

Laboratory LocationShaw Pain Clinic PLLC1005 Falls Pkwy #105, Marble Falls, TX 78654

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Shaw Pain Clinic PLLC's NPI number?

The NPI number for Shaw Pain Clinic PLLC is 1104479146. It was assigned to this organization in the NPPES registry on July 18, 2019.

Where is Shaw Pain Clinic PLLC located?

Shaw Pain Clinic PLLC is located at 503 Fm 1431 East, Suite 201, Marble Falls, TX 78654. The listed phone number is (830) 220-5007.

What is Shaw Pain Clinic PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Shaw Pain Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2176138) is associated with this NPI, valid through December 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shaw Pain Clinic PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Shaw Pain Clinic PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shaw Pain Clinic PLLC was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.