Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles Philip Shaw, DO

Individual provider Family Medicine Physician · NPI 1417100223

Dr. Charles Philip Shaw, DO is a Family Medicine Physician in Richmond, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1054 Center Dr Ste 2
Richmond, KY 40475-3851
Phone: (859) 625-5242
Fax: (859) 625-5279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 03139 (KY)

Record details

NPI number1417100223
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 24, 2008
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020
Mailing address800 Rose St, Lexington, KY 40536-7001

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