HEATHER SHAW
NPI 1760977359
Specialist/Technologist, Other - Surgical Assistant in The Villages, FL

Q: What is Heather Shaw's NPI number?

The NPI number for Heather Shaw is 1760977359. It was assigned to this individual provider in the NPPES registry on June 26, 2018. The provider is also known as Heather Malone Csfa.

Q: What is Heather Shaw's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

Q: When was this NPI record last updated?

The NPPES record for Heather Shaw was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 26, 2018

2910 BROWNWOOD BLVD, THE VILLAGES, FL 32163(352) 674-1790(352) 674-8990 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Heather Shaw NPPES

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

HEATHER SHAW (NPI 1760977359) is an individual surgical assistant in The Villages, Florida, licensed in (156466) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1760977359

Entity TypeIndividualFemale

Primary Taxonomy246ZC0007X

Provider Legal NameHEATHER SHAW

Location Address2910 BROWNWOOD BLVDThe Villages, FL 32163-2032

Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-1790 · Fax (352) 674-8990

Phone(352) 674-1790

Fax(352) 674-8990

Sole ProprietorNo

Enumeration DateJune 26, 2018

✔ NPI 1760977359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code246ZC0007X

License✔ Licensed · 156466

Definition

A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.

2910 BROWNWOOD BLVD, The Villages, FL 32163

Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Malone Csfa

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY L DEBOER M.D.

Family Medicine