Shaw Chiropractic and Medical Center, LLC
NPI 1710619143ActiveOrganization· Internal Medicine· Hendersonville, TN
Internal Medicine in Hendersonville, Tennessee, registered in NPPES in June 2022. The authorized official on file is Kenneth Ryan Shaw, DC, Doctor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710619143 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2022 |
| Last updated in NPPES | Jun 24, 2022 |
| Certified by provider | Jun 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Chiropractor | 111N00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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