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Scott Shaw is one of 111 physician assistants practicing in Waco, Texas .
Scott Shaw practices with Providence Health Alliance.
Registry record (NPPES)
NPI
1225079189
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
212 San Jose St Ste 301 Salinas, CA 93901-3928 (831) 759-3289
Enumerated
Jun 9, 2006
Record last updated
Feb 7, 2026
License states listed
CA, KY, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in AR, CA, IA, KY, MT, TXPhysician Assistant
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
301 Richland W Cir Providence Internal Medicine Clinic
Waco , TX 76712
(254) 537-6200
More physician assistants in Waco
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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