Dudley Alan Shaw, P.A
NPI 1598768210ActiveIndividual· Physician Assistant, Medical· Palm Coast, FL
Physician Assistant, Medical (P.A) in Palm Coast, Florida, licensed in FL, with an NPI issued in May 2005. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1598768210 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A |
| Sole proprietor | No |
| NPI issued | May 27, 2005 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA2468 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (FL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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