DERRICK CHASE SHAW
NPI 1336865146
Military Health Care Provider - Independent Duty Medical Technicians in Lusby, MD
About Derrick Chase Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK CHASE SHAW (NPI 1336865146) is an individual independent duty medical technicians provider in Lusby, Maryland and active in the NPI registry since October 2022.
NPPES Registry Identity
Specialties & Licenses
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 Derrick Shaw's NPI number?
The NPI number for Derrick Shaw is 1336865146. It was assigned to this individual provider in the NPPES registry on October 13, 2022.
Where is Derrick Shaw located?
Derrick Shaw practices at 1185 Cordova Dr, Lusby, MD 20657. The listed phone number is (402) 705-3896.
What is Derrick Shaw's specialty?
The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.
When was this NPI record last updated?
The NPPES record for Derrick Shaw was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.