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

Dr. Corey A Shaw, DO

Individual provider Diagnostic Radiology Physician · NPI 1720066830

Dr. Corey A Shaw, DO is a Diagnostic Radiology in FPO, Armed Forces Europe. Qualified in 2003, 23 years ago. Practices with Elite Imaging LLC, a 125-clinician group and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
23
Licensed in
NY, VA
In the registry since
2006
Specialties on file
2
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 may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Psc 819 Box 4377
FPO, AE 09645-0044
Phone: 34956823431

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 302098 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 0102203234 (VA)

Record details

NPI number1720066830
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 9, 2006
Last updated in NPPESMarch 11, 2020
Certification dateMarch 11, 2020
Mailing address150 Sunrise Hwy, Lindenhurst, NY 11757-2539

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Elite Imaging Llc — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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