Search › Ohio › 208800000X
Tavis Shaw, D.O
NPI 1871662809 · on the registry since 2006
Practice
- Address
- 4881 Sugar Maple Dr
Wpafb, OH 45433 - Phone
- (937) 257-9292
- Clinicians at this address
- 168
Additional practice sites
- 5171 S Cottonwood St Ste 210, Murray, UT
Registry record
- Primary taxonomy
- 208800000X
208800000X
- Also registered as
- 208800000X
208800000X
208600000X - Licence states on file
- PA, OH, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio