Shaw Pain Clinic PLLC
NPI 1104479146ActiveOrganization· Pain Medicine, Interventional Pain Medicine· Marble Falls, TX
Pain Medicine, Interventional Pain Medicine in Marble Falls, Texas, registered in NPPES in July 2019. The authorized official on file is Jerod K. Shaw, MD, Owner. Enrolled in Medicare as dme supplier - physician - physical and rehabilitation and part b supplier - clinic/group practice.
Overview
| NPI | 1104479146 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2019 |
| Last updated in NPPES | Feb 27, 2020 |
| Certified by provider | Feb 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Physical and Rehabilitation (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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