| Dr Robert D Shaw Jr, MD | |
|
816 E Main St, Willow Springs, MO 65793-1518 | |
| (417) 269-2490 | |
| (417) 269-2492 |
| Full Name | Dr Robert D Shaw Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 816 E Main St, Willow Springs, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184715724 | NPI | - | NPPES |
| 201741006 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | R7A02 (Missouri) | Primary |
| Entity Name | Ozarks Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831115641 PECOS PAC ID: 3870491863 Enrollment ID: O20040209001035 |
| Entity Name | Lester E Cox Medical Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538334396 PECOS PAC ID: 1254248917 Enrollment ID: O20050624000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert D Shaw Jr, MD Po Box 802843, Kansas City, MO 64180-2843 Ph: (417) 730-6430 | Dr Robert D Shaw Jr, MD 816 E Main St, Willow Springs, MO 65793-1518 Ph: (417) 269-2490 |
Dr. Deborah Lou Sheehan, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1202 E Main St, Willow Springs, MO 65793 Phone: 417-469-1820 Fax: 417-469-5280 | |
Dr. Raymond C Lewandowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 816 E Main St, Willow Springs, MO 65793 Phone: 999-999-9999 |