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TIMOTHY SHANE SHAW MD, PA
NPI 1477672624
Orthopaedic Surgery in Livingston, TX

Active since March 28, 2007
210 WEST PARK DR., STE 100, LIVINGSTON, TX 77351(936) 328-8080(936) 328-8505 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Shane Shaw Md, Pa NPPES

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

TIMOTHY SHANE SHAW MD, PA (NPI 1477672624) is a healthcare organization registered as an orthopaedic surgery in Livingston, Texas and active in the NPI registry since March 2007. The organization lists Timothy Shane Shaw, Orthopaedic Surgeon, as its authorized official.

NPPES Registry Identity

NPI1477672624
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameTIMOTHY SHANE SHAW MD, PA
Location Address210 WEST PARK DR., STE 100Livingston, TX 77351-9226
Mailing Address210 West Park Dr., Ste 100Livingston, TX 77351-9226 · (936) 328-8080 · Fax (936) 328-8505
Phone(936) 328-8080
Fax(936) 328-8505
Organization SubpartNo
Authorized OfficialTimothy Shane ShawOrthopaedic Surgeon · (936) 328-8080
Enumeration DateMarch 28, 2007
Last NPPES UpdateMarch 30, 2010
✔ NPI 1477672624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · M1343
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
210 WEST PARK DR., Livingston, TX 77351
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Other Identifiers 6

Medicare ID-Type Unspecified00474ZTX · Group Id Number
Medicare UPINI40794TX
Medicaid176109001TX
OtherDD8565TX · Medicare Railroad
Other1316930183TX · Npi Type 1
Other0079QSTX · Blue Cross Blue Shield Texas

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

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 Timothy Shane Shaw MD, PA's NPI number?

The NPI number for Timothy Shane Shaw MD, PA is 1477672624. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Timothy Shane Shaw MD, PA located?

Timothy Shane Shaw MD, PA is located at 210 West Park Dr. Ste 100, Livingston, TX 77351. The listed phone number is (936) 328-8080.

What is Timothy Shane Shaw MD, PA's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Timothy Shane Shaw MD, PA was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.